Active NPI
Janice S. Gates, DPM
- Podiatrist
- Newton, IA
National Provider Identifier
1508893629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00573
- Practice address
- 300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155 - Phone
- (641) 792-2112
- Fax
- (641) 792-8484
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00573 | IA | Primary |
Addresses
Primary practice location
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Mailing address
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone (641) 792-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1109405 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1508893629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N 4TH AVE E",
"address_2": "SUITE 200",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083155",
"telephone_number": "641-792-2112",
"fax_number": "641-792-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 4TH AVE E",
"address_2": "SUITE 200",
"city": "NEWTON",
"state": "IA",
"postal_code": "502083155",
"telephone_number": "641-792-2112",
"fax_number": "641-792-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "JANICE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "00573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1109405",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.