Organization Active NPI

Urban Foot Care Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Matteson, IL
National Provider Identifier
1386900645
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005160 Issued in IL
Legal business name
URBAN FOOT CARE CENTER INC
Practice address
4440 Lincoln Hwy Ste 102
Matteson, IL 60443-3802
Phone
(414) 793-3211
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Regina Flippin, DPM
Title
President
Phone
(414) 793-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016005160 IL Primary

Addresses

Primary practice location

4440 Lincoln Hwy Ste 102
Matteson, IL 60443-3802

Mailing address

3915 W Capitol Dr
Milwaukee, WI 53216-2528
Phone (414) 793-3211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1386900645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162528",
            "telephone_number": "414-793-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY STE 102",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433802",
            "telephone_number": "414-793-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN FOOT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "FLIPPIN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-793-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.