Organization Active NPI

John S Belknap DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Hood River, OR
National Provider Identifier
1710213301
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JOHN S BELKNAP DPM INC
Practice address
1700 12TH St
Suite B
Hood River, OR 97031-9540
Phone
(541) 386-1006
Fax
(541) 386-1284
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Kessa Mauras, DPM
Title
Doctor
Phone
(541) 386-1006

Specialties & licenses 1

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

Addresses

Primary practice location

1700 12TH St
Suite B
Hood River, OR 97031-9540

Mailing address

1700 12TH St
Suite B
Hood River, OR 97031-9540
Phone (541) 386-1006

Other identifiers 2

IdentifierTypeStateIssuer
0348910002OtherORPTAN
1366623134OtherORNPI

Other names 1

  • Mt. Hood Podiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John S Balknap DPM PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1700 12th St
Ste B
Hood River, OR 97031
Phone (541) 386-1006

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1710213301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 12TH ST",
            "address_2": "SUITE B",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319540",
            "telephone_number": "541-386-1006",
            "fax_number": "541-386-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 12TH ST",
            "address_2": "SUITE B",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319540",
            "telephone_number": "541-386-1006",
            "fax_number": "541-386-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S BELKNAP DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "MAURAS",
        "authorized_official_first_name": "KESSA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "541-386-1006",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0348910002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366623134",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Hood Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.