Active NPI
Family Foot Healthcare LLC
- Podiatrist
- Cameron, MO
National Provider Identifier
1104832872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 795
- Legal business name
- FAMILY FOOT HEALTHCARE LLC
- Practice address
- 609 East Platte Clay Way
Suite a
Cameron, MO 64429 - Phone
- (816) 632-5228
- Fax
- (816) 632-5229
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Nancy Kay Gasparovic, DPM
- Title
- Owner
- Phone
- (816) 632-5228
National Provider Directory
National Provider DirectoryLocations
610 Lana Dr
Ste B
Cameron, MO 64429
Phone (816) 632-5228
609 E Platte Clay Way
Ste A
Cameron, MO 64429
Phone (816) 632-5228
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 795 | MO | Primary |
| Podiatrist | 213E00000X | 12000295 | KS |
Addresses
NPPES NPI RegistryPrimary practice location
609 East Platte Clay Way
Suite a
Cameron, MO 64429
Mailing address
609 East Platte Clay Way
Suite a
Cameron, MO 64429
Phone (816) 632-5228
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366006500 | Medicaid | MO |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2009.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258588800000",
"number": "1104832872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 EAST PLATTE CLAY WAY",
"address_2": "SUITE A",
"city": "CAMERON",
"state": "MO",
"postal_code": "64429",
"telephone_number": "816-632-5228",
"fax_number": "816-632-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 EAST PLATTE CLAY WAY",
"address_2": "SUITE A",
"city": "CAMERON",
"state": "MO",
"postal_code": "64429",
"telephone_number": "816-632-5228",
"fax_number": "816-632-5229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FOOT HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2009-11-19",
"status": "A",
"authorized_official_last_name": "GASPAROVIC",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-632-5228",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MO",
"license": "795",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "KS",
"license": "12000295",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366006500",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.