Organization Active NPI

Medical Arts Foot Clinics, P. a.

Doing business as North Suburbs Podiatry

  • Foot Surgery Podiatrist
  • Saint Paul, MN
National Provider Identifier
1710083837
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
388 Issued in MN
Legal business name
MEDICAL ARTS FOOT CLINICS, P. A.
Doing business as
North Suburbs Podiatry
Practice address
3485 Willow Lake Blvd
Suite 300
Saint Paul, MN 55110-5152
Phone
(651) 765-8200
Fax
(651) 765-8201
NPI assigned
Sep 16, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Dale Herbert Vancil, DPMNPI 1205856713
Title
President
Phone
(651) 765-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 388 MN Primary

Addresses

Primary practice location

3485 Willow Lake Blvd
Suite 300
Saint Paul, MN 55110-5152

Mailing address

3485 Willow Lake Blvd
Suite 300
Saint Paul, MN 55110-5152
Phone (651) 765-8200

Other names 1

  • North Suburbs Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

7260 University Ave NE
Ste 345
Fridley, MN 55432
Phone (763) 571-7950

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1710083837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 WILLOW LAKE BLVD",
            "address_2": "SUITE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551105152",
            "telephone_number": "651-765-8200",
            "fax_number": "651-765-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WILLOW LAKE BLVD",
            "address_2": "SUITE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551105152",
            "telephone_number": "651-765-8200",
            "fax_number": "651-765-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS FOOT CLINICS, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "VANCIL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-765-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suburbs Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.