Organization Active NPI

Family Foot Care Center Inc

  • Foot Surgery Podiatrist
  • Tulsa, OK
National Provider Identifier
1508949256
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
158 Issued in OK
Legal business name
FAMILY FOOT CARE CENTER INC
Practice address
9318 S Toledo CT
Tulsa, OK 74137-2746
Phone
(918) 294-3668
Fax
(918) 747-2759
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Timothy Nicholas Malavolti, D.P.M.
Title
President
Phone
(918) 294-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 158 OK Primary

Addresses

Primary practice location

9318 S Toledo CT
Tulsa, OK 74137-2746

Mailing address

9318 S Toledo CT
Tulsa, OK 74137-2746
Phone (918) 294-3668

Other identifiers 1

IdentifierTypeStateIssuer
200127860AMedicaidOK

Other names 1

  • Timothy N. Malavolti, D.P.M. Doing business as

National Provider Directory

National Provider Directory

Locations

Dept 2869
Tulsa, OK 74182

8803 S 101st East Ave
Ste 125
Tulsa, OK 74133
Phone (918) 294-3668

9242 S Sheridan Rd
Ste L
Tulsa, OK 74133
Phone (918) 294-3668

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1508949256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 S TOLEDO CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372746",
            "telephone_number": "918-294-3668",
            "fax_number": "918-747-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 S TOLEDO CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372746",
            "telephone_number": "918-294-3668",
            "fax_number": "918-747-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "MALAVOLTI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-294-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OK",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy N. Malavolti, D.P.M.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.