Organization Active NPI

Foot and Ankle Care Center, PA

  • Podiatric Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1659531291
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
656 Issued in MN
Legal business name
FOOT AND ANKLE CARE CENTER, PA
Practice address
225 University Ave W Ste 126
Saint Paul, MN 55103-3907
Phone
(651) 290-2000
Fax
(651) 290-2000
NPI assigned
Jun 16, 2008
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
James N Vang, DPMNPI 1508949348
Title
Owner
Phone
(651) 290-2000

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
Podiatric Clinic/Center 261QP1100X 656 MN Primary

Addresses

Primary practice location

225 University Ave W Ste 126
Saint Paul, MN 55103-3907

Mailing address

225 University Ave W Ste 126
Saint Paul, MN 55103-3907
Phone (651) 290-2000

Other practice location 1

1030 Payne Ave
Saint Paul, MN 55130-3841
Phone (651) 774-2020

Other identifiers 10

IdentifierTypeStateIssuer
054942800OtherMNMETROPOLITAN HEALTH CARE
054942800MedicaidMN
423601029964OtherMNPREFERRED ONE
149R5VAOtherMNBLUE CROSS BLUE SHIELD PIN#
167471OtherMNUCARE
141291OtherMNUCARE PIN #
149R4FOOtherMNBLUE CROSS BLUE SHIELD
79140OtherMNHEALTH PARTNERS
1029964OtherMNPREFERRED ONE PIN #
2700242OtherMNMEDICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091005000522 MN Part B Supplier - Clinic/Group Practice 9830235803 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1030 Payne Ave
Saint Paul, MN 55130
Phone (651) 744-2020

225 University Ave W
Ste 126
Saint Paul, MN 55103
Phone (651) 290-2000

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": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1659531291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 UNIVERSITY AVE W STE 126",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551033907",
            "telephone_number": "651-290-2000",
            "fax_number": "651-290-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 UNIVERSITY AVE W STE 126",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551033907",
            "telephone_number": "651-290-2000",
            "fax_number": "651-290-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Payne Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551303841",
            "country_code": "US",
            "telephone_number": "651-774-2020",
            "fax_number": "651-774-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT AND ANKLE CARE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-290-2000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MN",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN HEALTH CARE",
            "identifier": "054942800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054942800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "423601029964",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN#",
            "identifier": "149R5VA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167471",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PIN #",
            "identifier": "141291",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "149R4FO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "79140",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE PIN #",
            "identifier": "1029964",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2700242",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.