Kirkwood Podiatry Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000476 Issued in MO

Legal business name

KIRKWOOD PODIATRY INC

Practice address

118 E Jefferson Ave
Suite 200
Kirkwood, MO 63122-4026

Phone

(314) 821-6585

Fax

(314) 821-6594

NPI assigned

Nov 28, 2007

Last updated

Mar 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian J Wunderlich, D.P.M.NPI 1528015070

Title

President

Phone

(314) 821-6585

Specialties & licenses 1

Addresses

Locations

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.

• Christian Jon Wunderlich, D.P.M.

  • Podiatrist
  • Kirkwood, MO
  • NPI 1528015070
  Authorized official Same address or phone

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1578745949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 DREXEL HILL CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313647",
            "telephone_number": "314-821-6585",
            "fax_number": "314-821-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E JEFFERSON AVE",
            "address_2": "SUITE 200",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224026",
            "telephone_number": "314-821-6585",
            "fax_number": "314-821-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WUNDERLICH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-821-6585",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirkwood Dental Care Ronald K Greif DDS PC (Contemporary Dental Arts Lisa D. Haines DMD)
• Kirkwood Drug Co. (Medicine Shoppe)
• Kirkwood Eye Associates LLC
• Kirkwood Family Dental
• Kirkwood Family Eyecare LLC
• Kirkwood Vascular and Surgical Institute, LLC
• Kirkwood Wellness & Rehabilitation LLC
• Kirwood Medication Assisted Treatments (Kirkwood Medication Assisted Treatments)
• Stephanie Kitchens, LPN
• Jacob Billings Knepp

• Podiatrist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.