Organization Active NPI

Vincent Sollecito,III

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1477511251
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000449 Issued in MO
Legal business name
VINCENT SOLLECITO,III
Practice address
3915 Watson
#200
Saint Louis, MO 63109-1251
Phone
(314) 352-2711
Fax
(314) 644-5081
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Vincent Sollecito, III, DPM
Title
Doctor/Owner
Phone
(314) 352-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000449 MO Primary

Addresses

Primary practice location

3915 Watson
#200
Saint Louis, MO 63109-1251

Mailing address

3915 Watson Rd
#200
Saint Louis, MO 63109-1251
Phone (314) 352-2711

Other identifiers 1

IdentifierTypeStateIssuer
302805007MedicaidMO

National Provider Directory

National Provider Directory

Locations

3915 Watson Rd
Ste 200
Saint Louis, MO 63109
Phone (314) 352-2711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1477511251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD",
            "address_2": "#200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-352-2711",
            "fax_number": "314-644-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 WATSON",
            "address_2": "#200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-352-2711",
            "fax_number": "314-644-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT SOLLECITO,III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "SOLLECITO,",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "314-352-2711",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302805007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.