Organization Active NPI

Bellevue Foot Center, P.C.

Doing business as Papillion Foot and Ankle Center

  • Foot Surgery Podiatrist
  • Papillion, NE
National Provider Identifier
1609855568
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
186 Issued in NE
Legal business name
BELLEVUE FOOT CENTER, P.C.
Doing business as
Papillion Foot and Ankle Center
Practice address
1413 S Washington St Ste 270
Papillion, NE 68046-4193
Phone
(402) 291-3123
Fax
(402) 291-1560
NPI assigned
Jan 10, 2006
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Jonathan Michael Little, DPMNPI 1528063930
Title
Owner/Podiatrist
Phone
(402) 291-3123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 186 NE Primary

Addresses

Primary practice location

1413 S Washington St Ste 270
Papillion, NE 68046-4193

Mailing address

1413 S Washington St Ste 270
Papillion, NE 68046-4193
Phone (402) 291-3123

Other identifiers 2

IdentifierTypeStateIssuer
01946OtherNEBCBS NE
CS4192OtherPALMETTO GBA RR MEDICARE

Other names 1

  • Papillion Foot and Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031201000059 NE Part B Supplier - Clinic/Group Practice 9335044791 Receives reassigned benefits from 2 practitioners
Practice locations: Papillion, NE
O20100930033140 NE DME Supplier - Physician - Podiatry 9335044791 Practice locations: Papillion, NE

National Provider Directory

National Provider Directory

Locations

1313 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-3123

1413 S Washington St
Ste 270
Papillion, NE 68046
Phone (402) 291-3123

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1609855568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 270",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464193",
            "telephone_number": "402-291-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 270",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464193",
            "telephone_number": "402-291-3123",
            "fax_number": "402-291-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE FOOT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "402-291-3123",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NE",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "01946",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "CS4192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Papillion Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.