NPIMap

Organization Active NPI

Joel D Foster DPM PC

  • Preferred Provider Organization
  • Lees Summit, MO
National Provider Identifier
1316064488
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
12-00320 Issued in MO
Legal business name
JOEL D FOSTER DPM PC
Practice address
6 N.W. Sycamore St
Ste a
Lees Summit, MO 64086-4703
Phone
(816) 246-4222
Fax
(816) 246-4223
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Joel David Foster, DPM
Title
Owner
Phone
(816) 246-4222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2000161864 MO
Preferred Provider Organization 305R00000X 12-00320 MO Primary

Addresses

Primary practice location

6 N.W. Sycamore St
Ste a
Lees Summit, MO 64086-4703

Mailing address

6 N.W. Sycamore St
Suite a
Lees Summit, MO 64086-4703
Phone (816) 246-4222

Other identifiers 6

IdentifierTypeStateIssuer
114125OtherKSMEDICARE ID TYPE 1
305899304MedicaidMO
P00209482OtherMEDICARE RAILROAD
114201OtherKSMEDICARE ID TYPE 2
K90A990OtherKSMEDICARE ID TYPE UNSPECIFIED
DD1207OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

1741 NE Douglas St
Lees Summit, MO 64086
Phone (816) 246-3246

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1316064488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N.W. SYCAMORE ST",
            "address_2": "SUITE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864703",
            "telephone_number": "816-246-4222",
            "fax_number": "816-246-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N.W. SYCAMORE ST",
            "address_2": "STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864703",
            "telephone_number": "816-246-4222",
            "fax_number": "816-246-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL D FOSTER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-246-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2000161864",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "12-00320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE 1",
            "identifier": "114125",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305899304",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00209482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE 2",
            "identifier": "114201",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "K90A990",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD1207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.