Organization Active NPI

Northern Foot & Ankle Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Duluth, MN
National Provider Identifier
1386853760
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
496 Issued in MN
Legal business name
NORTHERN FOOT & ANKLE ASSOCIATES PA
Practice address
324 W Superior St Ste 408
Duluth, MN 55802-1726
Phone
(218) 722-0615
NPI assigned
May 22, 2007
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Curt A Kristensen, DPM
Title
Partner
Phone
(218) 722-0615

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 482 MN
Foot & Ankle Surgery Podiatrist 213ES0103X 498 MN
Foot & Ankle Surgery Podiatrist 213ES0103X 496 MN Primary

Addresses

Primary practice location

324 W Superior St Ste 408
Duluth, MN 55802-1726

Mailing address

324 W Superior St Ste 408
Duluth, MN 55802-1726
Phone (218) 722-0615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050912000217 MN Part B Supplier - Clinic/Group Practice 8527091537 Receives reassigned benefits from 3 practitioners
Practice locations: Duluth, MN; Moose Lake, MN; Hibbing, MN
O20100930080083 MN DME Supplier - Physician - Podiatry 8527091537 Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

324 W Superior St
Ste 408
Duluth, MN 55802
Phone (218) 722-0615

2204 1st Ave
#3
Hibbing, MN 55746
Phone (800) 327-1819

2204 1st Ave
Ste 3
Hibbing, MN 55746

901 9th St N
Ste 316
Virginia, MN 55792
Phone (800) 327-1819

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1386853760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 408",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021726",
            "telephone_number": "218-722-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 408",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021726",
            "telephone_number": "218-722-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN FOOT & ANKLE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "KRISTENSEN",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "218-722-0615",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "482",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "498",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.