NPIMap

Organization Active NPI

Sandberg Foot Health Center PC

Doing business as Volunteer Podiatry

  • Foot Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1720548662
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
SANDBERG FOOT HEALTH CENTER PC
Doing business as
Volunteer Podiatry
Practice address
1928 Alcoa Hwy
Building B., Suite 200
Knoxville, TN 37920-1502
Phone
(865) 523-5655
Fax
(865) 523-4882
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
David G Sandberg, DPM
Title
President
Phone
(365) 523-5655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

1928 Alcoa Hwy
Building B., Suite 200
Knoxville, TN 37920-1502

Mailing address

9301 Park West Blvd Ste A2
Knoxville, TN 37923-4300
Phone (865) 523-5655

Other names 1

  • Volunteer Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014003330 TN DME Supplier - Physician - PodiatryDME Supplier - Pedorthic Personnel 2668369638 Practice locations: Knoxville, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Sandberg Foot Health Center PC1928 Alcoa Hwy, Knoxville, TN 37920-1502(865) 523-5655 (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Sep 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Sandberg Foot Health Ce4 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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1720548662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 PARK WEST BLVD STE A2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234300",
            "telephone_number": "865-523-5655",
            "fax_number": "865-523-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "BUILDING B., SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-523-5655",
            "fax_number": "865-523-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBERG FOOT HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "365-523-5655",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteer Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Volunteer Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.