Organization Active NPI

Step Ahead Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Kalispell, MT
National Provider Identifier
1699367094
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
STEP AHEAD FOOT & ANKLE LLC
Practice address
40 Four Mile Dr Ste 8
Kalispell, MT 59901-2655
Phone
(406) 755-2818
Fax
(406) 755-2991
NPI assigned
Feb 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Tyson Fiala, DPMNPI 1346500584
Title
Manager
Phone
(208) 308-4557

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

40 Four Mile Dr Ste 8
Kalispell, MT 59901-2655

Mailing address

26 Shaded Arbor Dr
Spring, TX 77389-5118
Phone (208) 308-4557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210304000575 MT Part B Supplier - Clinic/Group Practice 6800202524 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT
O20210412000337 MT DME Supplier - Physician - Podiatry 6800202524 Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

40 Four Mile Dr
Ste 8
Kalispell, MT 59901
Phone (406) 755-2818

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": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1699367094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SHADED ARBOR DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895118",
            "telephone_number": "208-308-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOUR MILE DR STE 8",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012655",
            "telephone_number": "406-755-2818",
            "fax_number": "406-755-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP AHEAD FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "FIALA",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-308-4557",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.