Active NPI
Midwest Foot & Ankle Specialists, LLC
- Foot & Ankle Surgery Podiatrist
- Richfield, MN
National Provider Identifier
1437478666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- MIDWEST FOOT & ANKLE SPECIALISTS, LLC
- Practice address
- 6600 Lyndale Ave S
Suite 130
Richfield, MN 55423-3380 - Phone
- (612) 798-0170
- Fax
- (612) 869-3473
- NPI assigned
- May 27, 2010
- 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
- Bryan L Mohr, DPM
- Title
- Owner
- Phone
- (612) 798-0170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
6600 Lyndale Ave S
Suite 130
Richfield, MN 55423-3380
Mailing address
6600 Lyndale Ave S
Suite 130
Richfield, MN 55423-3380
Phone (612) 798-0170
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1437478666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 LYNDALE AVE S",
"address_2": "SUITE 130",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554233380",
"telephone_number": "612-798-0170",
"fax_number": "612-869-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 LYNDALE AVE S",
"address_2": "SUITE 130",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554233380",
"telephone_number": "612-798-0170",
"fax_number": "612-869-3473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST FOOT & ANKLE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "MOHR",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-798-0170",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.