Organization Active NPI

Scott B King DPM, PC

  • Podiatrist
  • Ottumwa, IA
National Provider Identifier
1831713122
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SCOTT B KING DPM, PC
Doing business as
Foot and Ankle Associates
Practice address
515 Church St
Ottumwa, IA 52501-4216
Phone
(641) 572-2054
Fax
(641) 575-2057
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Scott B King, DPMNPI 1629066956
Title
Owner
Phone
(641) 575-2054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

515 Church St
Ottumwa, IA 52501-4216

Mailing address

PO Box 1855
Ottumwa, IA 52501-0269

Other names 1

  • Foot and Ankle Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200605001734 IA Part B Supplier - Clinic/Group Practice 3274954813 Receives reassigned benefits from 1 practitioner
Practice locations: Ottumwa, IA

National Provider Directory

National Provider Directory

Locations

515 Church St
Ottumwa, IA 52501
Phone (641) 575-2054

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": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1831713122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1855",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525010269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CHURCH ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014216",
            "telephone_number": "641-572-2054",
            "fax_number": "641-575-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT B KING DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-575-2054",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.