Organization Active NPI

Steven K. Shoemaker, DPM and Associates, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Roseville, CA
National Provider Identifier
1194854737
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3540 Issued in CA
Legal business name
STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.
Practice address
1421 Secret Ravine Pkwy Ste 111
Roseville, CA 95661-6045
Phone
(916) 781-3223
Fax
(916) 781-8171
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Steven Kay Shoemaker, DPM
Title
Doctor of Podiatry
Phone
(916) 781-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3540 CA Primary

Addresses

Primary practice location

1421 Secret Ravine Pkwy Ste 111
Roseville, CA 95661-6045

Mailing address

4120 Douglas Blvd # 306-165
Granite Bay, CA 95746-5936
Phone (916) 781-3223

Other identifiers 2

IdentifierTypeStateIssuer
RHD137336OtherCARADIOLOGY
10972127OtherCACAQH

National Provider Directory

National Provider Directory

Locations

4120 Douglas Blvd
#306165
Granite Bay, CA 95746

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194854737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DOUGLAS BLVD # 306-165",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957465936",
            "telephone_number": "916-781-3223",
            "fax_number": "916-781-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SECRET RAVINE PKWY STE 111",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616045",
            "telephone_number": "916-781-3223",
            "fax_number": "916-781-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRY",
        "authorized_official_telephone_number": "916-781-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY",
            "identifier": "RHD137336",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10972127",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.