NPIMap

Organization Active NPI

Active Feet , Foot & Ankle Health Center

Doing business as Midwest Podiatry Centers Cottage Grove

  • Foot & Ankle Surgery Podiatrist
  • Cottage Grove, MN
National Provider Identifier
1932493350
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ACTIVE FEET , FOOT & ANKLE HEALTH CENTER
Doing business as
Midwest Podiatry Centers Cottage Grove
Practice address
7501 80TH St S
Cottage Grove, MN 55016-3020
Phone
(651) 459-9171
NPI assigned
Jun 2, 2011
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Bryan Mohr, DPMNPI 1043215528
Title
Owner
Phone
(612) 798-0170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 631 MN

Addresses

Primary practice location

7501 80TH St S
Cottage Grove, MN 55016-3020

Mailing address

7430 80TH St S
Suite 104
Cottage Grove, MN 55016-3035
Phone (612) 788-8778

Other names 1

  • Midwest Podiatry Centers Cottage Grove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Foot Ankle Specs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1932493350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 80TH ST S",
            "address_2": "SUITE 104",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163035",
            "telephone_number": "612-788-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163020",
            "telephone_number": "651-459-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FEET , FOOT & ANKLE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-798-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Podiatry Centers Cottage Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.