Organization Active NPI

Grand Rapids Foot & Ankles PC

  • Podiatrist
  • Hastings, MI
National Provider Identifier
1770540957
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001839 Issued in MI
Legal business name
GRAND RAPIDS FOOT & ANKLES PC
Practice address
221 W Apple St
Hastings, MI 49058-1810
Phone
(269) 945-2606
Fax
(269) 945-5122
NPI assigned
Apr 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Steven F Challa, DPM
Title
Physician
Phone
(269) 945-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001839 MI Primary

Addresses

Primary practice location

221 W Apple St
Hastings, MI 49058-1810

Mailing address

4310 Leonard St NW
Suite 103
Walker, MI 49534-8447
Phone (616) 453-6329

Other identifiers 1

IdentifierTypeStateIssuer
3516431MedicaidMI

Other names 1

  • Hastings Family Foot Care Doing business as

National Provider Directory

National Provider Directory

Locations

725 Alger St SE
Grand Rapids, MI 49507
Phone (616) 245-5944

221 W Apple St
Hastings, MI 49058
Phone (269) 945-2606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1770540957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LEONARD ST NW",
            "address_2": "SUITE 103",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495348447",
            "telephone_number": "616-453-6329",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W APPLE ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581810",
            "telephone_number": "269-945-2606",
            "fax_number": "269-945-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS FOOT & ANKLES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-29",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "269-945-2606",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hastings Family Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.