Organization Active NPI

Advanced Foot Care Center, PC

  • Primary Podiatric Medicine Podiatrist
  • Lee's Summit, MO
National Provider Identifier
1437331790
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
MO461 Issued in MO
Legal business name
ADVANCED FOOT CARE CENTER, PC
Practice address
828 SW Blue Pkwy
Lees Summit, MO 64063-3805
Phone
(816) 525-2900
Fax
(816) 554-3991
NPI assigned
Nov 28, 2007
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. David Alan Sapperstein, DPM
Title
President
Phone
(816) 525-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X MO461 MO
Primary Podiatric Medicine Podiatrist 213EP1101X MO461 MO Primary

Addresses

Primary practice location

828 SW Blue Pkwy
Lees Summit, MO 64063-3805

Mailing address

828 SW Blue Pkwy
Lees Summit, MO 64063-3805
Phone (816) 525-2900

Other identifiers 2

IdentifierTypeStateIssuer
40430016OtherMOBLUE CROSS/BLUE SHIELD
DN5983OtherMORR MEDICARE

National Provider Directory

National Provider Directory

Locations

828 SW Blue Pkwy
Lees Summit, MO 64063
Phone 81628740442

Practitioners & affiliated clinicians

Practitioners 1

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1437331790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633805",
            "telephone_number": "816-525-2900",
            "fax_number": "816-554-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633805",
            "telephone_number": "816-525-2900",
            "fax_number": "816-554-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "SAPPERSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-525-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MO",
            "license": "MO461",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MO",
            "license": "MO461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "40430016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN5983",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.