The Foot Doctors, P.C.

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

Organization subpart

Yes

Parent organization

THE FOOT DOCTORS, P.C.As reported in NPPES

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

Authorized official

Name

Russell Dirksen, DPM

Title

Owner

Phone

(417) 883-1881

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Foot Doctors PC2 organizations share this tax ID, including this one

Part of

Foot Doctors PC

Other organizations with this tax ID 1

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

• Foot Doctors, P.C.

  • Foot Surgery Podiatrist
  • Springfield, MO
  • NPI 1336368745
  NPD tax ID

Locations

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.

• Foot Doctors, P.C.

  • Foot Surgery Podiatrist
  • Springfield, MO
  • NPI 1336368745
  NPPES parent name

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "990001420",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tablerock Health LLC
• Darin L.. Talley, MD
• Richard Tallon
• Amanda Tenholder
• Richard Lewis Thayer Jr., PSY.D.
• The Skaggs Community Hospital Association
• Theravada Mental Health Mo
• Jeffrey Thiebaud, MD
• Laura Thomas, PHARMD
• Amy R Thorne, DO

• Foot Surgery Podiatrist in Branson, MO
• Providers in Branson, MO by specialty
• Foot Surgery Podiatrist in Missouri

• 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.