Organization Active NPI

Community Foot Clinic of McPherson LLC

  • Durable Medical Equipment & Medical Supplies
  • McPherson, KS
National Provider Identifier
1619301751
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
12-00301 Issued in KS
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

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Trent J Timson, DPMNPI 1033229448
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100317700AMedicaidKS

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Community Foot Clinic of McPherson316 W 4TH St, McPherson, KS 67460-2301(620) 241-3313 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Apr 3, 2013

National Provider Directory

National Provider Directory
Tax ID family
Community Foot Clinic of McPherson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.