Kirchner Foot & Ankle

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KIRCHNER FOOT & ANKLE

Practice address

250 E Maple St
New Lenox, IL 60451

Phone

(815) 485-5830

Fax

(815) 485-8531

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Paul Bernard Kirchner, DPMNPI 1790899979

Title

Physician/Owner

Phone

(815) 485-5830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Bernard Kirchner, D.P.M.

  • Podiatrist
  • New Lenox, IL
  • NPI 1790899979

  IL

  Medicare reassignment NPD Authorized official
• Kyle Kirchner, DPM

  • Foot & Ankle Surgery Podiatrist
  • New Lenox, IL
  • NPI 1598110868

  Foot & Ankle Surgery, IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1629613419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "815-485-5830",
            "fax_number": "815-485-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "815-485-5830",
            "fax_number": "815-485-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRCHNER FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "815-485-5830",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kid Talk Inc
• Jana Lindsey King, M.S., CCC/SLP
• Kara Lyn King, LMT
• Peyton Marie King
• Courtney Kinney, PTA
• Kyle Kirchner, DPM
• Paul Bernard Kirchner, D.P.M.
• Timothy A Kisla, DO
• Srinarong Kittisopikul, M.D., PHD
• Kathryn Ann Kittler, PT

• All providers in New Lenox, IL
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.