Organization Active NPI

Dare Foot Care LLC

  • Podiatrist
  • Liberty, MO
National Provider Identifier
1649711524
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DARE FOOT CARE LLC
Practice address
2201 Glenn Hendren Dr
Liberty, MO 64068-3375
Phone
(816) 736-8800
NPI assigned
Mar 13, 2017
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Louis Gaefke, DPMNPI 1629148648
Title
Owner
Phone
(816) 804-9642

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

2201 Glenn Hendren Dr
Liberty, MO 64068-3375

Mailing address

6209 Mid Rivers Mall Dr
Suite 320
Saint Peters, MO 63304-1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170511002182 MO Part B Supplier - Clinic/Group Practice 6103102066 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Joseph, MO; Kansas City, MO; Lexington, MO; Liberty, MO; Odessa, MO; Pleasant Hill, MO; Raymore, MO; Richmond, MO…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dare Foot Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7850 Freeman Ave
Kansas City, KS 66112
Phone (913) 234-3666

400 S Rogers Rd
Olathe, KS 66062
Phone (913) 782-3350

751 N Somerset Ter
Olathe, KS 66062
Phone (913) 254-7868

7600 Antioch Rd
Overland Park, KS 66204
Phone (913) 383-2001

7170 Silverheel St
Shawnee, KS 66227
Phone (314) 503-5523

6501 W 75th St
Shawnee Mission, KS 66204
Phone (913) 383-9866

307 E South St
Harrisonville, MO 64701
Phone (816) 380-7398

403 Crispin St
Richmond, MO 64085
Phone (816) 776-3435

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1649711524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "SUITE 320",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683375",
            "telephone_number": "816-736-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "GAEFKE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-804-9642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.