Active NPI
Feet for Life Centers Inc PC
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
National Provider Identifier
1548484819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000603
- Legal business name
- FEET FOR LIFE CENTERS INC PC
- Practice address
- 8637 Delmar Blvd
Saint Louis, MO 63124-1906 - Phone
- (314) 983-0303
- Fax
- (314) 983-2777
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amey Drake
- Title
- Admin Manager
- Phone
- (314) 983-0303
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2010024583 | MO | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000603 | MO | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2012010878 | MO |
Addresses
Primary practice location
8637 Delmar Blvd
Saint Louis, MO 63124-1906
Mailing address
8637 Delmar Blvd
Saint Louis, MO 63124-1906
Phone (314) 983-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71486
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Saint Louis, MO
- NPI 1689762429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1548484819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8637 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241906",
"telephone_number": "314-983-0303",
"fax_number": "314-983-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8637 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241906",
"telephone_number": "314-983-0303",
"fax_number": "314-983-2777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEET FOR LIFE CENTERS INC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "AMEY",
"authorized_official_title_or_position": "ADMIN MANAGER",
"authorized_official_telephone_number": "314-983-0303",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "2010024583",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "000603",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2012010878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.