Missouri Foot Care Centers, Inc.

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

Organization subpart

No

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

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Missouri Foot Care Centers, Inc

  • Foot & Ankle Surgery Podiatrist
  • Jefferson City, MO
  • NPI 1316077209

  O20081203000198

  Same enrollment

Locations

Practitioners 1

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

• Terrence George Klamet, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jefferson City, MO
  • NPI 1659361442

  Foot & Ankle Surgery, MO

  Medicare reassignment NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504901406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480025443",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302574710",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ9611",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy, L.L.C.
• Missouri Dental Specialists
• Missouri Department of Mental Health
• Missouri Doula Association
• Missouri Foot Care Centers, Inc
• Missouri Medical Imaging, Inc.
• Missouri Pharmacist Care Network, LLC
• Missouri Schools for the Severely Disabled
• Missouri Spine Institute, LLC
• Missouri Vein Care, LLC

• All providers in Jefferson City, MO
• Foot & Ankle Surgery Podiatrist in Missouri

• 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.