NPIMap

Organization Active NPI

Active Feet, Foot & Ankle Health Center

  • Medical Specialty Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1194158154
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
631 Issued in MN
Legal business name
ACTIVE FEET, FOOT & ANKLE HEALTH CENTER
Practice address
6625 Lyndale Ave S Ste 105
Minneapolis, MN 55423-2673
Phone
(612) 788-8778
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bryan L Mohr, DP
Title
Dr of Podiatry
Phone
(612) 200-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 631 MN Primary

Addresses

Primary practice location

6625 Lyndale Ave S Ste 105
Minneapolis, MN 55423-2673

Mailing address

6625 Lyndale Ave S Ste 300
Richfield, MN 55423-2491
Phone (612) 788-8778

Other names 1

  • Midwest Podiarty Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Active Feet Foot Ankle3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1194158154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 300",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232491",
            "telephone_number": "612-788-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232673",
            "telephone_number": "612-788-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FEET, FOOT & ANKLE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR OF PODIATRY",
        "authorized_official_telephone_number": "612-200-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Podiarty Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Podiarty Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.