Active NPI
Community Foot Clinic of McPherson LLC
- Durable Medical Equipment & Medical Supplies
- McPherson, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 12-00301
- Legal business name
- COMMUNITY FOOT CLINIC OF MCPHERSON LLC
- Practice address
- 316 W 4TH St
McPherson, KS 67460-2301 - Phone
- (620) 241-3313
- Fax
- (620) 241-6967
- NPI assigned
- Aug 26, 2013
- 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
- Trent J Timson, DPM
- Title
- Podiatrist
- Phone
- (620) 241-3313
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 12-00301 | KS | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 12-00301 | KS |
Addresses
Primary practice location
316 W 4TH St
McPherson, KS 67460-2301
Mailing address
316 W 4TH St
McPherson, KS 67460-2301
Phone (620) 241-3313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100317700A | Medicaid | KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Community Foot Clinic of McPherson | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Community Foot Clinic of McPherson LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- McPherson, KS
- NPI 1104259191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- McPherson, KS
- NPI 1033229448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1619301751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W 4TH ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674602301",
"telephone_number": "620-241-3313",
"fax_number": "620-241-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W 4TH ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674602301",
"telephone_number": "620-241-3313",
"fax_number": "620-241-6967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY FOOT CLINIC OF MCPHERSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "TIMSON",
"authorized_official_first_name": "TRENT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "620-241-3313",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KS",
"license": "12-00301",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "KS",
"license": "12-00301",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100317700A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McPherson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.