Organization Active NPI

Missouri Foot Care Centers, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Jefferson City, MO
National Provider Identifier
1508035569
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000552 Issued in MO
Legal business name
MISSOURI FOOT CARE CENTERS, INC.
Practice address
1705 Christy Dr
Suite 209
Jefferson City, MO 65101-5195
Phone
(573) 634-3338
NPI assigned
Feb 25, 2008
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mrs. Kelli Jeane Ruddle
Title
Administrator
Phone
(314) 270-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000552 MO Primary

Addresses

Primary practice location

1705 Christy Dr
Suite 209
Jefferson City, MO 65101-5195

Mailing address

12430 Tesson Ferry Rd # 371
Saint Louis, MO 63128-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081203000198 MO Part B Supplier - Clinic/Group Practice 4789745225 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Jefferson City, MO
O20100930065895 MO DME Supplier - Physician - Podiatry 4789745225 Practice locations: Jefferson City, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

936 Charbonier Rd
Florissant, MO 63031
Phone (314) 831-4800

1705 Christy Dr
Ste 100
Jefferson Cty, MO 65101
Phone (573) 635-7022

1705 Christy Dr
Ste 209
Jefferson Cty, MO 65101
Phone (573) 634-3338

12430 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 446-0291

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1508035569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 TESSON FERRY RD # 371",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282702",
            "fax_number": "314-843-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CHRISTY DR",
            "address_2": "SUITE 209",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015195",
            "telephone_number": "573-634-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI FOOT CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "RUDDLE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "JEANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-270-3060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.