Organization Active NPI

Roseville Foot and Ankle PC

Doing business as Roseville Foot and Ankle

  • Podiatrist
  • Roseville, CA
National Provider Identifier
1326794355
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ROSEVILLE FOOT AND ANKLE PC
Doing business as
Roseville Foot and Ankle
Practice address
906 Cirby Way Ste 100
Roseville, CA 95661-4475
Phone
(916) 300-9633
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Kentston CripeNPI 1073076782
Title
Ceo
Phone
(916) 300-9633

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

906 Cirby Way Ste 100
Roseville, CA 95661-4475

Mailing address

906 Cirby Way Ste 100
Roseville, CA 95661-4475
Phone (916) 243-5033

Other names 1

  • Roseville Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230216001809 CA Part B Supplier - Clinic/Group Practice 0244602423 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, CA
O20230623001704 CA DME Supplier - Physician - Podiatry 0244602423 Practice locations: Roseville, CA

National Provider Directory

National Provider Directory

Locations

906 Cirby Way
Ste 100
Roseville, CA 95661
Phone (916) 243-5033

Practitioners & affiliated clinicians

Practitioners 1

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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1326794355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 CIRBY WAY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614475",
            "telephone_number": "916-243-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 CIRBY WAY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614475",
            "telephone_number": "916-300-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "CRIPE",
        "authorized_official_first_name": "KENTSTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-300-9633"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roseville Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.