Organization Active NPI

Complete Foot Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
National Provider Identifier
1306114111
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
540 Issued in MN
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

Updated by the provider on Dec 7, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.