Organization Active NPI

Foot Clinics LTD, P.a.

  • Podiatrist
  • Saint Paul, MN
National Provider Identifier
1205954278
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
449 Issued in MN
Legal business name
FOOT CLINICS LTD, P.A.
Practice address
2221 Ford Pkwy
Suite 350
Saint Paul, MN 55116-1800
Phone
(651) 698-8879
Fax
(651) 698-7243
NPI assigned
Mar 27, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Alan Carlson, D.P.M.NPI 1114958055
Title
President
Phone
(651) 698-8879

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
Podiatrist 213E00000X 449 MN Primary

Addresses

Primary practice location

2221 Ford Pkwy
Suite 350
Saint Paul, MN 55116-1800

Mailing address

2221 Ford Pkwy
Suite 350
Saint Paul, MN 55116-1800
Phone (651) 698-8879

Other identifiers 1

IdentifierTypeStateIssuer
59599JUOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

2233 Hamline Ave N
Ste 301
Roseville, MN 55113
Phone (651) 633-7603

2221 Ford Pkwy
Ste 350
Saint Paul, MN 55116
Phone (651) 698-8879

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1205954278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 FORD PKWY",
            "address_2": "SUITE 350",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161800",
            "telephone_number": "651-698-8879",
            "fax_number": "651-698-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 FORD PKWY",
            "address_2": "SUITE 350",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161800",
            "telephone_number": "651-698-8879",
            "fax_number": "651-698-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINICS LTD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-698-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59599JU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.