Active NPI
Complete Foot Care, LLC
- Durable Medical Equipment & Medical Supplies
- Saint Charles, MO
National Provider Identifier
1306114111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 540
- Legal business name
- COMPLETE FOOT CARE, LLC
- Practice address
- 753 Friedens Rd
Saint Charles, MO 63303-3815 - Phone
- (314) 917-7567
- NPI assigned
- Dec 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerard J. Busch, DPM
- Title
- Ceo
- Phone
- (314) 917-7567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 540 | MN | Primary |
Addresses
Primary practice location
753 Friedens Rd
Saint Charles, MO 63303-3815
Mailing address
753 Friedens Rd
Saint Charles, MO 63303-3815
Phone (314) 917-7567
National Provider Directory
National Provider DirectoryLocations
753 Friedens Rd
Saint Charles, MO 63303
Phone (314) 917-7567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1306114111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 FRIEDENS RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033815",
"telephone_number": "314-917-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 FRIEDENS RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033815",
"telephone_number": "314-917-7567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE FOOT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "BUSCH",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-917-7567",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MN",
"license": "540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.