Cambridge Foot and Ankle Clinic LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

303 Issued in MN

Legal business name

CAMBRIDGE FOOT AND ANKLE CLINIC LLC

Practice address

1001 1St Ave E Ste 180
Cambridge, MN 55008-1855

Phone

(763) 689-2183

Fax

(763) 689-6532

NPI assigned

Dec 14, 2012

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Bruce Graham, DPM

Title

Owner

Phone

(763) 689-2183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1750627048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 1ST AVE E STE 180",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081855",
            "telephone_number": "763-689-2183",
            "fax_number": "763-689-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 1ST AVE E STE 180",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081855",
            "telephone_number": "763-689-2183",
            "fax_number": "763-689-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-689-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cambridge Nursing Home Inc (Cambridge Health Care Center)
• Cambridge Orthodontics PA
• Kimberly Charlotte Carl
• Michele R Carlos
• Julianne L. Carlson, LPCC

• Foot & Ankle Surgery Podiatrist in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.