Organization Active NPI

Foot & Ankle Health Center, S.C.

  • Foot & Ankle Surgery Podiatrist
  • Shorewood, WI
National Provider Identifier
1841483484
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
504-025 Issued in WI
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT & ANKLE HEALTH CENTER, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Randall L Dei, DPMNPI 1487608329
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43262700MedicaidWI

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.

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.

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.

Verify at the official NPI Registry.