Individual provider Active NPI

Rick P. Salocker, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Dodge, IA
National Provider Identifier
1922082056
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00345 Issued in IA
Practice address
2700 1St Ave S Ste 400
Fort Dodge, IA 50501-4300
Phone
(515) 576-3338
Fax
(515) 576-4558
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00345 IA Primary

Addresses

Primary practice location

2700 1St Ave S Ste 400
Fort Dodge, IA 50501-4300

Mailing address

2700 1St Ave S Ste 400
Fort Dodge, IA 50501-4300
Phone (515) 576-3338

Other identifiers 5

IdentifierTypeStateIssuer
480013830OtherIARAILROAD MEDICARE
I7688OtherIAMEDICARE GROUP
0298471OtherIAMEDICAID GROUP
11311OtherIAWELLMARK BCBS OF IOWA
2151464MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00345IAMDOccupational Therapy Assistant
345IAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1922082056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 1ST AVE S STE 400",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014300",
            "telephone_number": "515-576-3338",
            "fax_number": "515-576-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST AVE S STE 400",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014300",
            "telephone_number": "515-576-3338",
            "fax_number": "515-576-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOCKER",
        "first_name": "RICK",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480013830",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "I7688",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0298471",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "11311",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151464",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.