NPIMap

Organization Active NPI

Comprehensive Foot Care for All Ages, Inc.

Doing business as Comprehensive Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1396791711
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000501 Issued in MO
Legal business name
COMPREHENSIVE FOOT CARE FOR ALL AGES, INC.
Doing business as
Comprehensive Foot Care
Practice address
3009 N Ballas Rd
Ste 100 B
Saint Louis, MO 63131-2322
Phone
(314) 983-4034
Fax
(314) 432-3629
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mrs. Jenny G Lowhorn, RN
Title
Administrator
Phone
(314) 983-4034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000501 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd
Ste 100 B
Saint Louis, MO 63131-2322

Mailing address

3009 N Ballas Rd
Ste 100 B
Saint Louis, MO 63131-2322
Phone (314) 983-4034

Other identifiers 1

IdentifierTypeStateIssuer
501000806MedicaidMO

Other names 1

  • Comprehensive Foot Care Doing business as

National Provider Directory

National Provider Directory

Locations

510 Baxter Rd
Ste 6
Chesterfield, MO 63017
Phone (636) 256-0001

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1396791711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "STE 100 B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-983-4034",
            "fax_number": "314-432-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "STE 100 B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-983-4034",
            "fax_number": "314-432-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FOOT CARE FOR ALL AGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LOWHORN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-983-4034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501000806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.