Active NPI
Foot Surgical Center, P.C.
- Foot & Ankle Surgery Podiatrist
- Sioux Falls, SD
National Provider Identifier
1730356189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 162
- Legal business name
- FOOT SURGICAL CENTER, P.C.
- Practice address
- 3217 S Carolyn Ave
Sioux Falls, SD 57106-0744 - Phone
- (605) 362-7997
- Fax
- (605) 362-7930
- NPI assigned
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Joseph Heath, DPM
- Title
- President
- Phone
- (605) 362-7997
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 162 | SD | Primary |
Addresses
Primary practice location
3217 S Carolyn Ave
Sioux Falls, SD 57106-0744
Mailing address
3217 S Carolyn Ave
Sioux Falls, SD 57106-0744
Phone (605) 362-7997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6802022 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3217 S Carolyn Ave
Sioux Falls, SD 57106
Phone (605) 362-7997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Sioux Falls, SD
- NPI 1538133368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1730356189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 S CAROLYN AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571060744",
"telephone_number": "605-362-7997",
"fax_number": "605-362-7930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 S CAROLYN AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571060744",
"telephone_number": "605-362-7997",
"fax_number": "605-362-7930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT SURGICAL CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "HEATH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-362-7997",
"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": "162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6802022",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.