Organization Active NPI

John V Rice DPM

Doing business as Ankle & Foot Physicians and Surgeons

  • Foot & Ankle Surgery Podiatrist
  • Shelton, WA
National Provider Identifier
1841402765
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P0412 Issued in WA
Legal business name
JOHN V RICE DPM
Doing business as
Ankle & Foot Physicians and Surgeons
Practice address
1812 N 13TH Loop Road
Shelton, WA 98584
Phone
(360) 427-0366
Fax
(360) 427-5879
NPI assigned
May 4, 2007
Organization subpart
Yes
Parent organization
JOHN V RICE DPMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Authorized official

Name
Mrs. Gretchen Rice
Title
Office Manager
Phone
(360) 427-0366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X P0412 WA Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X P0671 WA

Addresses

Primary practice location

1812 N 13TH Loop Road
Shelton, WA 98584

Mailing address

1812 N 13TH Loop Rd
Shelton, WA 98584-2169
Phone (360) 427-0366

Other identifiers 1

IdentifierTypeStateIssuer
7114259MedicaidWA

Other names 1

  • Ankle & Foot Physicians and Surgeons Doing business as

National Provider Directory

National Provider Directory
Part of
John V Rice DPM

Practitioners & affiliated clinicians

Practitioners 3

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1841402765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N 13TH LOOP RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842169",
            "telephone_number": "360-427-0366",
            "fax_number": "360-427-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N 13TH LOOP ROAD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-427-0366",
            "fax_number": "360-427-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V RICE DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN V RICE DPM",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-427-0366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "P0412",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "P0671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114259",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Physicians and Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; 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.