NPIMap

Organization Active NPI

Spencer Foot and Ankle Clinic Inc

  • Customized Equipment (DME)
  • Lamoni, IA
National Provider Identifier
1205036076
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
00413 Issued in IA
Legal business name
SPENCER FOOT AND ANKLE CLINIC INC
Practice address
1332 E Main St
Lamoni, IA 50140-6311
Phone
(641) 784-7642
Fax
(641) 342-2292
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Richard B Spencer, DPMNPI 1770568602
Title
President
Phone
(641) 784-7642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 00413 IA Primary

Addresses

Primary practice location

1332 E Main St
Lamoni, IA 50140-6311

Mailing address

PO Box B
Lamoni, IA 50140-0152
Phone (641) 784-7642

Other identifiers 1

IdentifierTypeStateIssuer
4214171MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Spencer Foot and Ankle Clinic Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1205036076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "501400152",
            "telephone_number": "641-784-7642",
            "fax_number": "641-342-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 E MAIN ST",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "501406311",
            "telephone_number": "641-784-7642",
            "fax_number": "641-342-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER FOOT AND ANKLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-784-7642",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IA",
            "license": "00413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4214171",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamoni, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.