NPIMap

Organization Active NPI

Sandberg Foot Health Center PC

  • Foot Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1497215438
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
SANDBERG FOOT HEALTH CENTER PC
Practice address
116 Concord Rd Ste 300
Knoxville, TN 37934-2941
Phone
(865) 523-5655
Fax
(865) 523-4882
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
David G Sandberg, DPMNPI 1336157239
Title
President
Phone
(365) 523-5655

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
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

116 Concord Rd Ste 300
Knoxville, TN 37934-2941

Mailing address

9301 Park West Blvd Ste A2
Knoxville, TN 37923-4300
Phone (865) 523-5655

Other names 1

  • Volunteer Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014003553 TN DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Pedorthic Personnel 2668369638 Practice locations: Knoxville, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sandberg Foot Health Center PC116 Concord Rd, Knoxville, TN 37934-2941(865) 523-5655 (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts Accepts assignmentParticipating since Sep 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Sandberg Foot Health Ce4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1928 Alcoa Hwy
Ste B200
Knoxville, TN 37920
Phone (865) 523-5655

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1497215438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 PARK WEST BLVD STE A2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234300",
            "telephone_number": "865-523-5655",
            "fax_number": "865-523-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CONCORD RD STE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342941",
            "telephone_number": "865-523-5655",
            "fax_number": "865-523-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBERG FOOT HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "365-523-5655",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteer Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Volunteer Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.