Heartland Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

00425 Issued in IA

Legal business name

HEARTLAND PODIATRY

Practice address

1048 Woodland Park Dr
West Des Moines, IA 50266-4948

Phone

(515) 401-8471

Fax

(515) 401-8471

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Arthur Pichler, D.P.M.

Title

Owner

Phone

(515) 401-8471

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366465262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 WOODLAND PARK DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502664948",
            "telephone_number": "515-401-8471",
            "fax_number": "515-401-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 WOODLAND PARK DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502664948",
            "telephone_number": "515-401-8471",
            "fax_number": "515-401-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICHLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-401-8471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4217562",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51743",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in West Des Moines, IA by specialty
• Foot & Ankle Surgery Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.