Active NPI
Foot and Ankle Health Center, S.C.
- Foot & Ankle Surgery Podiatrist
- Brookfield, WI
National Provider Identifier
1376598235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 575-025
- Legal business name
- FOOT AND ANKLE HEALTH CENTER, S.C.
- Practice address
- 17000 W North Ave
Suite 102E
Brookfield, WI 53005-4423 - Phone
- (262) 821-3980
- Fax
- (262) 821-3441
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall Dei, DPM
- Title
- President
- Phone
- (414) 831-0512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 575-025 | WI | Primary |
Addresses
Primary practice location
17000 W North Ave
Suite 102E
Brookfield, WI 53005-4423
Mailing address
7400 W Rawson Ave
Suite 231
Franklin, WI 53132-8278
Phone (414) 831-0512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43262700 | Medicaid | WI | |
| CC7747 | Other | WI | MED RR |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Foot & Ankle Surgery Podiatrist
- Shorewood, WI
- NPI 1841483484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1376598235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 W RAWSON AVE",
"address_2": "SUITE 231",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328278",
"telephone_number": "414-831-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 W NORTH AVE",
"address_2": "SUITE 102E",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054423",
"telephone_number": "262-821-3980",
"fax_number": "262-821-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE HEALTH CENTER, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "DEI",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-831-0512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WI",
"license": "575-025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43262700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED RR",
"identifier": "CC7747",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.