Organization Active NPI

Family Foot Care Clinic, LLC

  • Podiatrist
  • Kansas City, MO
National Provider Identifier
1902959984
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2006039218 Issued in MO
Legal business name
FAMILY FOOT CARE CLINIC, LLC
Practice address
6724 Troost Ave
Suite 106
Kansas City, MO 64131-1500
Phone
(816) 523-6050
Fax
(816) 523-3741
NPI assigned
Jan 21, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. James E Teela, DPM
Title
Physician
Phone
(816) 523-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2006039218 MO Primary

Addresses

Primary practice location

6724 Troost Ave
Suite 106
Kansas City, MO 64131-1500

Mailing address

6724 Troost Ave
Suite 106
Kansas City, MO 64131-1500
Phone (816) 523-6050

Other identifiers 2

IdentifierTypeStateIssuer
DF8774OtherMORAILROAD
38089011OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1902959984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 TROOST AVE",
            "address_2": "SUITE 106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311500",
            "telephone_number": "816-523-6050",
            "fax_number": "816-523-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 TROOST AVE",
            "address_2": "SUITE 106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311500",
            "telephone_number": "816-523-6050",
            "fax_number": "816-523-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "TEELA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "816-523-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2006039218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DF8774",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38089011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.