Active NPI
Foot & Ankle Health Center, S.C.
- Foot & Ankle Surgery Podiatrist
- Shorewood, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 504-025
- Legal business name
- FOOT & ANKLE HEALTH CENTER, S.C.
- Practice address
- 3970 N Oakland Ave
Suite 402
Shorewood, WI 53211-2265 - Phone
- (414) 332-6138
- Fax
- (414) 332-7348
- NPI assigned
- Aug 27, 2007
- Last updated
- Feb 29, 2008
- Organization subpart
- Yes
- Parent organization
- FOOT & ANKLE HEALTH CENTER, S.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall L Dei, DPM
- Title
- President
- Phone
- (414) 381-0512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 504-025 | WI | Primary |
Addresses
Primary practice location
3970 N Oakland Ave
Suite 402
Shorewood, WI 53211-2265
Mailing address
7400 W Rawson Ave
Suite 231
Franklin, WI 53132-8278
Phone (414) 831-0512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43262700 | Medicaid | WI |
National Provider Directory
National Provider Directory- Part of
- Foot and Ankle Health Center
Locations
7400 W Rawson Ave
Ste 231
Franklin, WI 53132
Phone (414) 831-0301
3970 N Oakland Ave
Ste 402
Shorewood, WI 53211
Phone (414) 332-6138
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Foot & Ankle Surgery Podiatrist
- Brookfield, WI
- NPI 1376598235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Franklin, WI
- NPI 1487608329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1841483484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 W RAWSON AVE",
"address_2": "SUITE 231",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328278",
"telephone_number": "414-831-0512",
"fax_number": "414-321-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 N OAKLAND AVE",
"address_2": "SUITE 402",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112265",
"telephone_number": "414-332-6138",
"fax_number": "414-332-7348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE HEALTH CENTER, S.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOOT & ANKLE HEALTH CENTER, S.C.",
"enumeration_date": "2007-08-27",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "DEI",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-381-0512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WI",
"license": "504-025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43262700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shorewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.