Organization Active NPI

Haste Podiatry Clinics P C

  • Podiatrist
  • Joplin, MO
National Provider Identifier
1417019449
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000807 Issued in MO
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

Updated by the provider on Jan 24, 2024

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
626280101MedicaidMO
DN6307OtherMOMEDICARE RR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.