Organization Active NPI

Swfac

Doing business as Southwest Foot and Ankle Center

  • Podiatrist
  • Harlan, IA
National Provider Identifier
1821468547
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SWFAC
Doing business as
Southwest Foot and Ankle Center
Practice address
1213 Garfield Ave
Harlan, IA 51537
Phone
(800) 334-5516
Fax
(712) 623-2703
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Jeffrey P Kiley, DPM
Title
Owner
Phone
(712) 623-5178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

1213 Garfield Ave
Harlan, IA 51537

Mailing address

502 E. Reed St.
Red Oak, IA 51566
Phone (712) 623-5178

Other names 1

  • Southwest Foot and Ankle Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Foot and Ankle Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1821468547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E. REED ST.",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "51566",
            "telephone_number": "712-623-5178",
            "fax_number": "712-623-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "51537",
            "telephone_number": "800-334-5516",
            "fax_number": "712-623-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWFAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "KILEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-623-5178",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.