Organization Active NPI

Meridian Foot and Ankle Center

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1912100694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000857A Issued in IN
Legal business name
MERIDIAN FOOT AND ANKLE CENTER
Practice address
3266 N Meridian St
Suite 802
Indianapolis, IN 46208-5846
Phone
(317) 927-2455
Fax
(317) 927-2092
NPI assigned
Jun 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Ken Krueger, D.P.M.
Title
Executive Director
Phone
(317) 575-0185

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000391A IN
Podiatrist 213E00000X 07000857A IN Primary

Addresses

Primary practice location

3266 N Meridian St
Suite 802
Indianapolis, IN 46208-5846

Mailing address

3266 N Meridian St
Suite 802
Indianapolis, IN 46208-5846
Phone (317) 927-2455

National Provider Directory

National Provider Directory

Locations

3266 N Meridian St
Ste 802
Indianapolis, IN 46208
Phone (317) 927-2455

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912100694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 N MERIDIAN ST",
            "address_2": "SUITE 802",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085846",
            "telephone_number": "317-927-2455",
            "fax_number": "317-927-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 N MERIDIAN ST",
            "address_2": "SUITE 802",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085846",
            "telephone_number": "317-927-2455",
            "fax_number": "317-927-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-575-0185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000391A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000857A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

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.