NPIMap

Organization Active NPI

Active Feet , Foot & Ankle Health Center

Doing business as Midwest Podiatry Centers

  • Primary Podiatric Medicine Podiatrist
  • Minneapolis, MN
National Provider Identifier
1689848392
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
631 Issued in MN
Legal business name
ACTIVE FEET , FOOT & ANKLE HEALTH CENTER
Doing business as
Midwest Podiatry Centers
Midwest Podiatry Centers Richfield
Practice address
6625 Lyndale Ave S Ste 105
Minneapolis, MN 55423-2673
Phone
(612) 788-8778
Fax
(612) 869-3473
NPI assigned
Apr 15, 2008
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Bryan Mohr, DPMNPI 1043215528
Title
Owner-DPM
Phone
(612) 788-8778

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X
Primary Podiatric Medicine Podiatrist 213EP1101X 631 MN Primary

Addresses

Primary practice location

6625 Lyndale Ave S Ste 105
Minneapolis, MN 55423-2673

Mailing address

6625 Lyndale Ave S Ste 300
Minneapolis, MN 55423-2491
Phone (612) 788-8778

Other practice location 1

2204 1st Ave
Hibbing, MN 55746-1902
Phone (800) 327-1819

Other practice location 2

9325 Upland Ln N Ste 255
Maple Grove, MN 55369-4463
Phone (612) 788-8778

Other practice location 3

6545 France Ave S Ste 571
Edina, MN 55435-2153
Phone (612) 788-8778

Other practice location 4

417 Skyline Blvd
Cloquet, MN 55720-1164
Phone (218) 722-0615

Other practice location 5

10995 Club West Pkwy Ste 500
Blaine, MN 55449-5863
Phone (612) 788-8778

Other practice location 6

3007 Harbor Ln N Ste 1300
Plymouth, MN 55447-5138
Phone (612) 788-8778

Other practice location 7

11500 Highway 7 Ste 201
Minnetonka, MN 55305-5107
Phone (612) 788-8778

Other practice location 8

707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099
Phone (320) 245-2250

Other practice location 9

4570 Hwy 61
Moose Lake, MN 55767
Phone (218) 485-4491

Other practice location 10

324 W Superior St Ste 408
Duluth, MN 55802-1726
Phone (612) 788-8778

Other practice location 11

14050 Nicollet Ave Ste 202
Burnsville, MN 55337-5786
Phone (612) 788-8778

Other practice location 12

4001 Stinson Blvd NE Ste 120
Minneapolis, MN 55421-3424
Phone (612) 788-8778

Other names 2

  • Midwest Podiatry Centers Doing business as
  • Midwest Podiatry Centers Richfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080602000720 MN Part B Supplier - Clinic/Group Practice 1254401300 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Burnsville, MN; Cloquet, MN; Duluth, MN; Edina, MN; Hibbing, MN; Maple Grove, MN; Minneapolis, MN; Minnetonka, MN…
O20120625000408 MN DME Supplier - Physician - Podiatry 1254401300 Practice locations: Richfield, MN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

324 W Superior St
Ste 517
Duluth, MN 55802
Phone (218) 722-0326

3007 Harbor Ln N
Ste 1300
Plymouth, MN 55447

4001 Stinson Blvd NE
Ste 120
Saint Anthony, MN 55421

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1689848392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232491",
            "telephone_number": "612-788-8778",
            "fax_number": "612-869-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232673",
            "telephone_number": "612-788-8778",
            "fax_number": "612-869-3473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557461902",
            "country_code": "US",
            "telephone_number": "800-327-1819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9325 Upland Ln N Ste 255",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694463",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 France Ave S Ste 571",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352153",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Skyline Blvd",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "557201164",
            "country_code": "US",
            "telephone_number": "218-722-0615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10995 Club West Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554495863",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 Harbor Ln N Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554475138",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11500 Highway 7 Ste 201",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553055107",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Lundorff Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sandstone",
            "state": "MN",
            "postal_code": "550725099",
            "country_code": "US",
            "telephone_number": "320-245-2250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4570 HWY 61",
            "address_purpose": "LOCATION",
            "city": "Moose Lake",
            "state": "MN",
            "postal_code": "55767",
            "country_code": "US",
            "telephone_number": "218-485-4491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 W Superior St Ste 408",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021726",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14050 Nicollet Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375786",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Stinson Blvd NE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554213424",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE FEET , FOOT & ANKLE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER-DPM",
        "authorized_official_telephone_number": "612-788-8778",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MN",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Podiatry Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Podiatry Centers Richfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.