NPIMap

Organization Active NPI

Pivotal Foot and Ankle Surgeons LLC

  • Foot & Ankle Surgery Podiatrist
  • Saint Joseph, MO
National Provider Identifier
1356958276
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PIVOTAL FOOT AND ANKLE SURGEONS LLC
Practice address
1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989
Phone
(816) 364-2338
Fax
(816) 364-1003
NPI assigned
Sep 24, 2020
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Russell Scott Grimes, DPMNPI 1588635361
Title
DPM
Phone
(816) 364-2338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989

Mailing address

1005 W Saint Maartens Dr Ste a
Saint Joseph, MO 64506-2989
Phone (816) 364-2338

Other practice location 1

1306 Platte Falls Rd Ste C
Platte City, MO 64079-7323
Phone (816) 364-2338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230420001442 MO Part B Supplier - Clinic/Group Practice 0143685479 Receives reassigned benefits from 2 practitioners
Practice locations: Platte City, MO; Saint Joseph, MO
O20231128001489 MO DME Supplier - Physician - Podiatry 0143685479 Practice locations: Saint Joseph, MO

National Provider Directory

National Provider Directory

Locations

1306 Platte Falls Rd
Ste C
Platte City, MO 64079
Phone (816) 364-2338

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1356958276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W SAINT MAARTENS DR STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062989",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W SAINT MAARTENS DR STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062989",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Platte Falls Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Platte City",
            "state": "MO",
            "postal_code": "640797323",
            "country_code": "US",
            "telephone_number": "816-364-2338",
            "fax_number": "816-364-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOTAL FOOT AND ANKLE SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "816-364-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.