Organization Active NPI

Kelly L. Kadel Heartland Foot Care

  • Podiatrist
  • W Burlington, IA
National Provider Identifier
1861690323
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KELLY L. KADEL HEARTLAND FOOT CARE
Practice address
203 W Agency Rd Ste C
W Burlington, IA 52655-1676
Phone
(319) 753-1883
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Kelly Kadel, DPMNPI 1639160435
Title
Owner
Phone
(800) 448-3011

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 IA Primary

Addresses

Primary practice location

203 W Agency Rd Ste C
W Burlington, IA 52655-1676

Mailing address

203 W Agency Rd Ste C
W Burlington, IA 52655-1676
Phone (319) 753-1883

Other identifiers 2

IdentifierTypeStateIssuer
0156505MedicaidIA
40741OtherIAWELLMARK BCBS

National Provider Directory

National Provider Directory

Locations

203 W Agency Rd
Ste C
West Burlington, IA 52655
Phone (319) 753-1883

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1861690323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W AGENCY RD STE C",
            "city": "W BURLINGTON",
            "state": "IA",
            "postal_code": "526551676",
            "telephone_number": "319-753-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W AGENCY RD STE C",
            "city": "W BURLINGTON",
            "state": "IA",
            "postal_code": "526551676",
            "telephone_number": "319-753-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY L. KADEL HEARTLAND FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KADEL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-448-3011",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156505",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "40741",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.