Active NPI
Family Foot and Ankle Clinic LLC
- Podiatrist
- Shawano, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FAMILY FOOT AND ANKLE CLINIC LLC
- Practice address
- 115 Alpine CT
Shawano, WI 54166-2048 - Phone
- (715) 298-5949
- NPI assigned
- Jul 7, 2020
- Last updated
- Jul 7, 2020
- Organization subpart
- Yes
- Parent organization
- FAMILY FOOT AND ANKLE CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joel J Tikalsky, DPM
- Title
- President
- Phone
- (715) 241-8100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
115 Alpine CT
Shawano, WI 54166-2048
Mailing address
5403 Normandy St
Weston, WI 54476-2217
Phone (715) 241-8100
National Provider Directory
National Provider Directory- Part of
- Family Foot and Ankle Clinic LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Podiatrist
- Weston, WI
- NPI 1659439321
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.
-
- Podiatrist
- Weston, WI
- NPI 1073500526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594080000000",
"number": "1457979379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5403 NORMANDY ST",
"city": "WESTON",
"state": "WI",
"postal_code": "544762217",
"telephone_number": "715-241-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ALPINE CT",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662048",
"telephone_number": "715-298-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FOOT AND ANKLE CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY FOOT AND ANKLE CLINIC",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A",
"authorized_official_last_name": "TIKALSKY",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-241-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.