NPIMap

Organization Active NPI

The Foot Doctors, P.C.

  • Foot Surgery Podiatrist
  • Branson, MO
National Provider Identifier
1497988828
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
THE FOOT DOCTORS, P.C.
Practice address
1015 Highway 248
Branson, MO 65616-8001
Phone
(417) 883-1881
Fax
(417) 883-4844
NPI assigned
Sep 2, 2009
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
THE FOOT DOCTORS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Russell Dirksen, DPMNPI 1225142409
Title
Owner
Phone
(417) 883-1881

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X MO Primary

Addresses

Primary practice location

1015 Highway 248
Branson, MO 65616-8001

Mailing address

929 E Montclair St
Suite 100
Springfield, MO 65807-5068
Phone (417) 883-1881

National Provider Directory

National Provider Directory
Tax ID family
Jennifer Pistner DPM2 organizations share this tax ID, including this one
Part of
Jennifer Pistner DPM

Other organizations with this tax ID 1

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

Locations

1015 Highway 248
Branson, MO 65616
Phone (417) 883-1881

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.

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": "1251849600000",
    "number": "1497988828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E MONTCLAIR ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075068",
            "telephone_number": "417-883-1881",
            "fax_number": "417-883-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HIGHWAY 248",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168001",
            "telephone_number": "417-883-1881",
            "fax_number": "417-883-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT DOCTORS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FOOT DOCTORS, P.C.",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "DIRKSEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-883-1881",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.