Organization Active NPI

Joseph M. Kukla DPM, PLLC

Doing business as Podiatry Associates

  • Podiatrist
  • Cedar Rapids, IA
National Provider Identifier
1235898271
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JOSEPH M. KUKLA DPM, PLLC
Doing business as
Podiatry Associates
Practice address
3047 Center Point Rd NE Ste a
Cedar Rapids, IA 52402-4064
Phone
(319) 365-6973
Fax
(319) 365-6974
NPI assigned
Dec 16, 2021
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Mr. Joseph M Kukla, DPMNPI 1225342751
Title
Owner
Phone
(319) 365-6973

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3047 Center Point Rd NE Ste a
Cedar Rapids, IA 52402-4064

Mailing address

3047 Center Point Rd NE Ste a
Cedar Rapids, IA 52402-4064
Phone (319) 365-6973

Other names 1

  • Podiatry Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220125002428 IA Part B Supplier - Clinic/Group Practice 9335531326 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Rapids, IA; Anamosa, IA; Manchester, IA
O20220324000424 IA DME Supplier - Physician - Podiatry 9335531326 Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

208 E Main St
Anamosa, IA 52205
Phone (319) 462-3709

3047 Center Point Rd NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 213-8485

717 E Main St
Manchester, IA 52057
Phone (319) 927-2944

Practitioners & affiliated clinicians

Practitioners 7

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": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1235898271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 CENTER POINT RD NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024064",
            "telephone_number": "319-365-6973",
            "fax_number": "319-365-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 CENTER POINT RD NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024064",
            "telephone_number": "319-365-6973",
            "fax_number": "319-365-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. KUKLA DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "KUKLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-365-6973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.