Idaho Complete Foot Care

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

IDAHO COMPLETE FOOT CARE

Practice address

880 Redman St
Chubbuck, ID 83202-2655

Phone

(208) 681-2353

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Danielle Rae George

Title

Owner

Phone

(208) 681-2353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1740824762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 REDMAN ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022655",
            "telephone_number": "208-681-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 REDMAN ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022655",
            "telephone_number": "208-681-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO COMPLETE FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-681-2353"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Hochhalter, LPC
• Amy Holloway, ED.S.
• Renee Howells
• Amie Hughes, BA
• Lizabeth R Hutchinson
• Idaho Kidney Institute LLP
• Idaho Skin Institute LLC
• Idaho State University
• Idaho State University
• Inclusive Care LLC

• Podiatrist in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.