Organization Active NPI

Midwest Foot & Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Richfield, MN
National Provider Identifier
1437478666
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Feb 2, 2011

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.