Active NPI
Bunion Surgery Specialists LLC
- Foot & Ankle Surgery Podiatrist
- Fort Dodge, IA
National Provider Identifier
1124883327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BUNION SURGERY SPECIALISTS LLC
- Doing business as
- Foot and Ankle Center of Iowa
- Practice address
- 3 N 17TH St
Fort Dodge, IA 50501-4211 - Phone
- (515) 639-3775
- Fax
- (833) 598-2060
- NPI assigned
- Feb 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindi Jo Dayton, DPM
- Title
- Owner
- Phone
- (515) 639-2775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
3 N 17TH St
Fort Dodge, IA 50501-4211
Mailing address
3 N 17TH St
Fort Dodge, IA 50501-4211
Phone (515) 639-3775
Other names 1
- Foot and Ankle Center of Iowa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240520000703 | IA | DME Supplier - Physician - Podiatry | 5496149247 | Practice locations: Fort Dodge, IA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Bunion Surgery Special LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Ankeny, IA
- NPI 1184383804
-
- Foot & Ankle Surgery Podiatrist
- Grimes, IA
- NPI 1326754847
-
- Foot & Ankle Surgery Podiatrist
- Sac City, IA
- NPI 1568287670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1124883327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 N 17TH ST",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505014211",
"telephone_number": "515-639-3775",
"fax_number": "833-598-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 N 17TH ST",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505014211",
"telephone_number": "515-639-3775",
"fax_number": "833-598-2060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUNION SURGERY SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A",
"authorized_official_last_name": "DAYTON",
"authorized_official_first_name": "MINDI",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-639-2775",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Center of Iowa",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.