Organization Active NPI

Sierra Podiatry Center, LLP

Doing business as Sierra Podiatry Center

  • Podiatrist
  • Carson City, NV
National Provider Identifier
1356421655
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0101 Issued in NV
Legal business name
SIERRA PODIATRY CENTER, LLP
Doing business as
Sierra Podiatry Center
Practice address
1801 N Carson St
Carson City, NV 89701-1216
Phone
(775) 882-1441
NPI assigned
Oct 17, 2006
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Dr. Jeffrey K Bean, DPMNPI 1326057357
Title
Owner
Phone
(775) 882-1441

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 0101 NV Primary

Addresses

Primary practice location

1801 N Carson St
Carson City, NV 89701-1216

Mailing address

1801 N Carson St
Carson City, NV 89701-1216
Phone (775) 882-1441

Other identifiers 1

IdentifierTypeStateIssuer
NA 674338MedicaidNV

Other names 1

  • Sierra Podiatry Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061205000298 NV Part B Supplier - Clinic/Group Practice 6608875414 Receives reassigned benefits from 4 practitioners
Practice locations: Carson City, NV
O20100930023631 NV DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 6608875414 Practice locations: Carson City, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sierra Podiatry Center LLP1801 N Carson St, Carson City, NV 89701-1216(775) 882-1441 Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory

Locations

1801 N Carson St
Ste A
Carson City, NV 89701

Practitioners & affiliated clinicians

Practitioners 4

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1356421655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011216",
            "telephone_number": "775-882-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011216",
            "telephone_number": "775-882-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA PODIATRY CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-882-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA 674338",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.