Active NPI
Bluffton Foot and Ankle
- Podiatrist
- Bluffton, OH
National Provider Identifier
1891017257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003451
- Legal business name
- BLUFFTON FOOT AND ANKLE
- Practice address
- 148 N Main St
Bluffton, OH 45817-1246 - Phone
- (419) 358-3050
- NPI assigned
- Feb 25, 2010
- Last updated
- Jun 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel W Kirk
- Title
- DPM
- Phone
- (419) 358-3050
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003451 | OH | Primary |
Addresses
Primary practice location
148 N Main St
Bluffton, OH 45817-1246
Mailing address
148 N Main St
Bluffton, OH 45817-1246
Phone (419) 358-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3034362 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100428000001 | OH | Part B Supplier - Clinic/Group Practice | 9234266024 | Practice locations: Bluffton, OH |
National Provider Directory
National Provider DirectoryPractitioners & 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
- Bluffton, OH
- NPI 1093838575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592179200000",
"number": "1891017257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 N MAIN ST",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "458171246",
"telephone_number": "419-358-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 N MAIN ST",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "458171246",
"telephone_number": "419-358-3050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUFFTON FOOT AND ANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-25",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "419-358-3050"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "36003451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3034362",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, OH
- Blanchard Valley Regional Health Center (Bluffton Hospital)
- Blanchard Valley Regional Health Center (Bluffton Hospital)
- Blanchard Valley Regional Health Center (Bluffton Hospital)
- Bluffton Exempted Village School District
- Bluffton Family Practice LLC
- Bluffton Pediatrics
- Bluffton Physicians, Inc.
- Bluffton Village
- Debora Limauro Bogart, L.M.T.
- Megan Muchelle Bowsher, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.