Organization Active NPI

Smith Foot Clinic PC

  • Podiatrist
  • Marshalltown, IA
National Provider Identifier
1386653368
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00464 Issued in IA
Legal business name
SMITH FOOT CLINIC PC
Practice address
311 W Main St
Marshalltown, IA 50158-0879
Phone
(641) 752-4639
Fax
(641) 752-2164
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Ms. Lori Frost
Title
Office Manager
Phone
(641) 752-4639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00464 IA Primary

Addresses

Primary practice location

311 W Main St
Marshalltown, IA 50158-0879

Mailing address

PO Box 879
311 W Main St
Marshalltown, IA 50158-0879
Phone (641) 752-4639

Other identifiers 1

IdentifierTypeStateIssuer
3265694MedicaidIA

National Provider Directory

National Provider Directory

Locations

311 W Main St
Marshalltown, IA 50158
Phone (515) 752-4639

218 1st Ave W
Newton, IA 50208
Phone (641) 792-4044

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1386653368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "address_2": "311 W MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501580879",
            "telephone_number": "641-752-4639",
            "fax_number": "641-752-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501580879",
            "telephone_number": "641-752-4639",
            "fax_number": "641-752-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "641-752-4639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3265694",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.