Organization Active NPI

Instep Foot Clinic, P.a.

  • Podiatrist
  • Edina, MN
National Provider Identifier
1477680106
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
540 Issued in MN
Legal business name
INSTEP FOOT CLINIC, P.A.
Practice address
7250 France Ave S
Suite 415
Edina, MN 55435-4305
Phone
(952) 926-3566
Fax
(952) 929-3358
NPI assigned
Feb 28, 2007
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Gerard James Busch, D.P.M.
Title
President
Phone
(952) 926-3566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 540 MN Primary

Addresses

Primary practice location

7250 France Ave S
Suite 415
Edina, MN 55435-4305

Mailing address

7250 France Ave S
Suite 415
Edina, MN 55435-4305
Phone (952) 926-3566

Other identifiers 1

IdentifierTypeStateIssuer
633818600MedicaidMN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4625 Churchill St
Ste 201
Shoreview, MN 55126
Phone (651) 766-9614

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1477680106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTEP FOOT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-926-3566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633818600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.