Organization Active NPI

Hopkins Foot and Ankle Clinic, P.a.

  • Podiatrist
  • Hopkins, MN
National Provider Identifier
1912004136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
399 Issued in MN
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
27-15056OtherMNMEDICA HEALTH PLAN
04153DOOtherFMBLUE 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": "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.

Verify at the official NPI Registry.