Organization Active NPI

Foot and Ankle Institute, PLLC

Doing business as Foot and Ankle Institute of Iowa

  • Podiatrist
  • Des Moines, IA
National Provider Identifier
1447483722
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00597 Issued in IA
Legal business name
FOOT AND ANKLE INSTITUTE, PLLC
Doing business as
Foot and Ankle Institute of Iowa
Practice address
3613 Beaver Ave
Des Moines, IA 50310-3273
Phone
(515) 223-5219
Fax
(515) 223-9344
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Dr. Rudolph La Fontant, DPMNPI 1235197542
Title
President
Phone
(515) 223-5219

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00597 IA Primary

Addresses

Primary practice location

3613 Beaver Ave
Des Moines, IA 50310-3273

Mailing address

3613 Beaver Ave
Des Moines, IA 50310-3273
Phone (515) 223-5219

Other identifiers 2

IdentifierTypeStateIssuer
I7655OtherIAMEDICARE ID-TYPE UNSPECIFIED
DS1680OtherIARAILROAD MEDICARE

Other names 1

  • Foot and Ankle Institute of Iowa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091008000225 IA Part B Supplier - Clinic/Group Practice 9830235621 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA
O20100930099642 IA DME Supplier - Physician - Podiatry 9830235621 Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

2629 Beaver Ave
Ste 15
Des Moines, IA 50310
Phone (515) 223-5219

2001 Kennedy St
Granger, IA 50109
Phone (515) 999-2588

1701 22nd St
Ste 107
West Des Moines, IA 50266
Phone (515) 223-4408

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": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1447483722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103273",
            "telephone_number": "515-223-5219",
            "fax_number": "515-223-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103273",
            "telephone_number": "515-223-5219",
            "fax_number": "515-223-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "LA FONTANT",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-223-5219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "I7655",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS1680",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Institute of Iowa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Ankle Institute of Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.