Foot Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT CLINIC, LLC

Practice address

4601 W 109TH St Ste 314
Overland Park, KS 66211-1315

Phone

(913) 364-1314

Fax

(913) 364-1160

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ali Davis, DPMNPI 1194847947

Title

Physician

Phone

(816) 547-6334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali R Davis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Overland Park, KS
  • NPI 1194847947
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1861906372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 SW ESTATES DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824552",
            "telephone_number": "816-547-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST STE 314",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111315",
            "telephone_number": "913-364-1314",
            "fax_number": "913-364-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "816-547-6334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonna Danyale Foley, DPT
• Ryan Ryu Folmsbee, T-LPC
• Rick Folten, DC
• Alexander E Fondaw, MD
• Foot Care Plus LLC
• Foot Specialists of Kansas City, PA
• Thomas Edward Forbach, D.C.
• Brietta Kathleen Forbes, MD
• Ford 4F, LLC
• Caitlin Ford, LPC

• Foot & Ankle Surgery Podiatrist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Foot & Ankle Surgery Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.