Organization Active NPI

Foot and Ankle Center of Iowa LLC

  • Foot & Ankle Surgery Podiatrist
  • Ankeny, IA
National Provider Identifier
1659866432
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE CENTER OF IOWA LLC
Practice address
3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4605
Phone
(515) 639-3775
Fax
(515) 964-3012
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Dr. Robert M Greenhagen, DPM
Title
Owner
Phone
(402) 391-7575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4605

Mailing address

9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Other names 1

  • FOOT AND ANKLE CENTER OF IOWA Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

450 Laurel St
Ste D
Des Moines, IA 50314
Phone (515) 271-1735

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25083/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1659866432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N ANKENY BLVD STE 103",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234605",
            "telephone_number": "515-639-3775",
            "fax_number": "515-964-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "GREENHAGEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-391-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT AND ANKLE CENTER OF IOWA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.