NPIMap

Organization Active NPI

Mid Dakota Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Mitchell, SD
National Provider Identifier
1699900308
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
164 Issued in SD
Legal business name
MID DAKOTA PODIATRY
Practice address
2410 N Main St # 1149
Mitchell, SD 57301-5037
Phone
(605) 995-6200
Fax
(605) 995-1910
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Dr. Jesse D Olson, DPM
Title
Owner
Phone
(605) 995-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 164 SD Primary

Addresses

Primary practice location

2410 N Main St # 1149
Mitchell, SD 57301-5037

Mailing address

2410 N Main St # 1149
Mitchell, SD 57301-5037
Phone (605) 995-6200

National Provider Directory

National Provider Directory
Tax ID family
Mid Dakota Podiatry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2410 N Main St
#1149
Mitchell, SD 57301
Phone (605) 995-6200

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1699900308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N MAIN ST # 1149",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573015037",
            "telephone_number": "605-995-6200",
            "fax_number": "605-995-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N MAIN ST # 1149",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573015037",
            "telephone_number": "605-995-6200",
            "fax_number": "605-995-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID DAKOTA PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-995-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.