Active NPI
Hopkins Foot and Ankle Clinic, P.a.
- Podiatrist
- Hopkins, MN
National Provider Identifier
1912004136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 399
- Legal business name
- HOPKINS FOOT AND ANKLE CLINIC, P.A.
- Practice address
- 29 9TH Ave N
Hopkins, MN 55343-8087 - Phone
- (952) 935-3334
- Fax
- (952) 935-1935
- NPI assigned
- Sep 20, 2006
- 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
- Stephen Doms, D.P.M.
- Title
- Owner
- Phone
- (952) 935-3334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 399 | MN | Primary |
Addresses
Primary practice location
29 9TH Ave N
Hopkins, MN 55343-8087
Mailing address
29 9TH Ave N
Hopkins, MN 55343-8087
Phone (952) 935-3334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-15056 | Other | MN | MEDICA HEALTH PLAN |
| 04153DO | Other | FM | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912004136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 9TH AVE N",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553438087",
"telephone_number": "952-935-3334",
"fax_number": "952-935-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 9TH AVE N",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553438087",
"telephone_number": "952-935-3334",
"fax_number": "952-935-1935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPKINS FOOT AND ANKLE CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOMS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-935-3334",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MN",
"license": "399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH PLAN",
"identifier": "27-15056",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "04153DO",
"state": "FM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.