Active NPI
Haste Podiatry Clinics P C
- Podiatrist
- Joplin, MO
National Provider Identifier
1417019449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000807
- Legal business name
- HASTE PODIATRY CLINICS P C
- Practice address
- 1617 W 26TH St Ste a
Joplin, MO 64804-0368 - Phone
- (417) 659-9395
- Fax
- (417) 659-9695
- NPI assigned
- Dec 15, 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
- Summer Michelle Haste
- Title
- Office Manager
- Phone
- (417) 659-9395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000807 | MO | Primary |
Addresses
Primary practice location
1617 W 26TH St Ste a
Joplin, MO 64804-0368
Mailing address
1617 W 26TH St Ste a
Joplin, MO 64804-0368
Phone (417) 659-9395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626280101 | Medicaid | MO | |
| DN6307 | Other | MO | MEDICARE RR |
National Provider Directory
National Provider DirectoryLocations
1501 E 20th St
Joplin, MO 64804
Phone (417) 659-9395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1417019449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 W 26TH ST STE A",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648040368",
"telephone_number": "417-659-9395",
"fax_number": "417-659-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 W 26TH ST STE A",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648040368",
"telephone_number": "417-659-9395",
"fax_number": "417-659-9695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASTE PODIATRY CLINICS P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "HASTE",
"authorized_official_first_name": "SUMMER",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "417-659-9395"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MO",
"license": "000807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626280101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DN6307",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.