Organization Active NPI

Salina Foot Clinic, P.a.

  • Podiatrist
  • Salina, KS
National Provider Identifier
1659444917
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1200240 Issued in KS
Legal business name
SALINA FOOT CLINIC, P.A.
Practice address
1529 E Iron Ave
Salina, KS 67401-3235
Phone
(785) 825-2900
Fax
(785) 825-2839
NPI assigned
Nov 16, 2006
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Tracie L Bredfeldt
Title
Insurance Clerk
Phone
(785) 825-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1200240 KS Primary

Addresses

Primary practice location

1529 E Iron Ave
Salina, KS 67401-3235

Mailing address

1529 E Iron Ave
Salina, KS 67401-3235
Phone (785) 825-2900

Other identifiers 1

IdentifierTypeStateIssuer
100227100BMedicaidKS

National Provider Directory

National Provider Directory

Locations

1529 E Iron Ave
Salina, KS 67401
Phone (785) 825-2900

Practitioners & affiliated clinicians

Practitioners 1

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1659444917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013235",
            "telephone_number": "785-825-2900",
            "fax_number": "785-825-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013235",
            "telephone_number": "785-825-2900",
            "fax_number": "785-825-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA FOOT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BREDFELDT",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "785-825-2900"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100227100B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.