Organization Active NPI

Jacob B Goldstein DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Olathe, KS
National Provider Identifier
1689967119
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JACOB B GOLDSTEIN DPM LLC
Practice address
401 S Clairborne Rd Ste 201
Olathe, KS 66062-1735
Phone
(913) 856-8150
Fax
(913) 856-8390
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dr. Jacob B Goldstein, D.P.M.NPI 1003896374
Title
Owner
Phone
(913) 856-8150

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X

Addresses

Primary practice location

401 S Clairborne Rd Ste 201
Olathe, KS 66062-1735

Mailing address

401 S Clairborne Rd Ste 201
Olathe, KS 66062-1735
Phone (913) 856-8150

Other practice location 1

302 S Main St
Ottawa, KS 66067-2332
Phone (913) 856-8150

Other names 1

  • Foot Pain Center of Kansas City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110720000581 KS Part B Supplier - Clinic/Group Practice 0244408151 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS; Ottawa, KS
O20120823000700 KS DME Supplier - Physician - Podiatry 0244408151 Practice locations: Gardner, KS

National Provider Directory

National Provider Directory

Locations

230 E Main St
Ste C
Gardner, KS 66030
Phone (913) 856-8150

Practitioners & affiliated clinicians

Practitioners 1

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": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1689967119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CLAIRBORNE RD STE 201",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621735",
            "telephone_number": "913-856-8150",
            "fax_number": "913-856-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CLAIRBORNE RD STE 201",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621735",
            "telephone_number": "913-856-8150",
            "fax_number": "913-856-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660672332",
            "country_code": "US",
            "telephone_number": "913-856-8150",
            "fax_number": "913-856-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACOB B GOLDSTEIN DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-856-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Pain Center of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.