Southwest Missouri Foot Clinics, Inc.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

2006009605 Issued in MO

Legal business name

SOUTHWEST MISSOURI FOOT CLINICS, INC.

Practice address

2630 Cunningham Ave
Joplin, MO 64804-1542

Phone

(417) 782-7500

Fax

(417) 782-7524

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew B Richins, DPMNPI 1003874181

Title

President

Phone

(417) 782-7500

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Matthew B Richins, DPM

  • Foot Surgery Podiatrist
  • Joplin, MO
  • NPI 1003874181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1215020896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3592",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033592",
            "telephone_number": "417-782-7500",
            "fax_number": "417-782-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-782-7500",
            "fax_number": "417-782-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSOURI FOOT CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "RICHINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-782-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MO",
            "license": "2006009605",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2006009605",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "2006009605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MEDICARE GROUP",
            "identifier": "000015173",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS MEDICARE GROUP",
            "identifier": "114206",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0016",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504920901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO",
            "identifier": "212522",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Southern, APRN
• Jared Michael Southwell, DMD
• Southwest Foot Clinic, LLC
• Southwest Gastroenterology, LLC
• Southwest Hearing and Balance
• Southwest Mo Foot Clinics
• Southwest Radiology LTD
• Southwestern Products Inc
• Southwestern Pulmonology Clinic, LLC
• Mark Spaw, M.D.

• Podiatric Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Podiatric Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.

Verify at the official NPI Registry.