Organization Active NPI

Foot and Ankle Surgeons of Kansas LLC

  • Foot & Ankle Surgery Podiatrist
  • Wichita, KS
National Provider Identifier
1942099700
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE SURGEONS OF KANSAS LLC
Practice address
400 N Woodlawn St Ste 211
Wichita, KS 67208-4332
Phone
(402) 751-0600
Fax
(402) 751-0800
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
David Waters, MDNPI 1386932564
Title
Owner
Phone
(402) 751-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

400 N Woodlawn St Ste 211
Wichita, KS 67208-4332

Mailing address

400 N Woodlawn St Ste 211
Wichita, KS 67208-4332
Phone (402) 751-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250801000692 KS Part B Supplier - Clinic/Group Practice 3577071562 Receives reassigned benefits from 2 practitioners
Practice locations: Seneca, KS; Wichita, KS
O20251217002894 KS DME Supplier - Physician - Podiatry 3577071562 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1942099700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WOODLAWN ST STE 211",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084332",
            "telephone_number": "402-751-0600",
            "fax_number": "402-751-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WOODLAWN ST STE 211",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084332",
            "telephone_number": "402-751-0600",
            "fax_number": "402-751-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SURGEONS OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-751-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.