Creswell Foot & Ankle Surgery

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CRESWELL FOOT & ANKLE SURGERY

Practice address

610 Cedar St
Wallace, ID 83873-2233

Phone

(208) 784-8777

Fax

(208) 784-3533

NPI assigned

Aug 22, 2024

Last updated

Mar 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy Price

Title

Credentialing Coordinator

Phone

(832) 277-6870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Joseph Alexander Creswell, DPM

  • Podiatrist
  • Wallace, ID
  • NPI 1710506456
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1699508929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "SMELTERVILLE",
            "state": "ID",
            "postal_code": "838680483",
            "telephone_number": "801-550-4051",
            "fax_number": "208-784-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CEDAR ST",
            "city": "WALLACE",
            "state": "ID",
            "postal_code": "838732233",
            "telephone_number": "208-784-8777",
            "fax_number": "208-784-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESWELL FOOT & ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "832-277-6870"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Community Enrichment Services, Inc. (ACES Community)
• Alternative Community Enrichment Services, Inc. (ACES Community Services)
• Alternative Community Enrichment Services, Inc. (ACES Community Services)
• Joseph Alexander Creswell, DPM
• Deb Elliott-Pearson M.D., P.C. (Bank Street Clinic)
• Dr John G Branz
• Ammon Hopkins
• Wayne L. Jurkovich, DDS

• Podiatrist in Wallace, ID
• Providers in Wallace, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.