Organization Active NPI

Ploot P.C.

Doing business as Glacier Foot and Ankle Associates

  • Podiatric Clinic/Center
  • Kalispell, MT
National Provider Identifier
1427109503
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
PLOOT P.C.
Doing business as
Glacier Foot and Ankle Associates
Practice address
125 W Washington St
Kalispell, MT 59901
Phone
(406) 755-1300
Fax
(406) 752-8346
NPI assigned
Jan 15, 2007
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Kim Erik Ploot, DPMNPI 1205902525
Title
Owner
Phone
(406) 755-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 155 MT
Foot & Ankle Surgery Podiatrist 213ES0103X 166 MT
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

125 W Washington St
Kalispell, MT 59901

Mailing address

125 W Washington St
Kalispell, MT 59901-3950
Phone (406) 755-1300

Other identifiers 2

IdentifierTypeStateIssuer
0390847MedicaidMT
0390858MedicaidMT

Other names 1

  • Glacier Foot and Ankle Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060131000910 MT Part B Supplier - Clinic/Group Practice 5395759179 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT
O20100930018368 MT DME Supplier - Physician - Podiatry 5395759179 Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

125 W Washington St
Kalispell, MT 59901
Phone (406) 755-1300

Practitioners & affiliated clinicians

Practitioners 2

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1427109503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W WASHINGTON ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013950",
            "telephone_number": "406-755-1300",
            "fax_number": "406-752-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W WASHINGTON ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-755-1300",
            "fax_number": "406-752-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLOOT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "PLOOT",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-755-1300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "155",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "166",
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390847",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390858",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Foot and Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glacier Foot and Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.