NPIMap

Organization Active NPI

Swfac PLC

  • Podiatrist
  • Missouri Valley, IA
National Provider Identifier
1952846321
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SWFAC PLC
Practice address
631 N. 8TH St.
Missouri Valley, IA 51555
Phone
(800) 334-5516
Fax
(712) 623-2703
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Andrew C Stanislav, DPM
Title
Owner
Phone
(712) 623-5178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

631 N. 8TH St.
Missouri Valley, IA 51555

Mailing address

502 E Reed St.
Red Oak, IA 51566
Phone (712) 623-5178

Other names 1

  • Southwest Foot and Ankle Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Foot and Ankle Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1952846321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E REED ST.",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "51566",
            "telephone_number": "712-623-5178",
            "fax_number": "712-623-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N. 8TH ST.",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "51555",
            "telephone_number": "800-334-5516",
            "fax_number": "712-623-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWFAC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "STANISLAV",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-623-5178",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri Valley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.