Organization Active NPI

Complete Family Foot Care Center,PC

  • Durable Medical Equipment & Medical Supplies
  • Littlestown, PA
National Provider Identifier
1811172109
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLETE FAMILY FOOT CARE CENTER,PC
Practice address
340 Lumber St
Suite B
Littlestown, PA 17340-1668
Phone
(717) 359-5300
Fax
(717) 359-0775
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Mrs. Donna M Reaver
Title
Office Manager
Phone
(717) 359-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

340 Lumber St
Suite B
Littlestown, PA 17340-1668

Mailing address

340 Lumber St
Suite B
Littlestown, PA 17340-1668
Phone (717) 359-5300

Other identifiers 1

IdentifierTypeStateIssuer
0017012250003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080110000434 PA Part B Supplier - Clinic/Group Practice 3274613633 Receives reassigned benefits from 1 practitioner
Practice locations: Littlestown, PA
O20100930033453 PA DME Supplier - Physician - Podiatry 3274613633 Practice locations: Littlestown, PA

National Provider Directory

National Provider Directory

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": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1811172109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LUMBER ST",
            "address_2": "SUITE B",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401668",
            "telephone_number": "717-359-5300",
            "fax_number": "717-359-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LUMBER ST",
            "address_2": "SUITE B",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401668",
            "telephone_number": "717-359-5300",
            "fax_number": "717-359-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY FOOT CARE CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "REAVER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-359-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017012250003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littlestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.