NPIMap

Organization Active NPI

Advanced Foot Care, LLP

  • Foot & Ankle Surgery Podiatrist
  • Chattanooga, TN
National Provider Identifier
1992048938
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ADVANCED FOOT CARE, LLP
Practice address
3742 Tennessee Ave
Suite 108
Chattanooga, TN 37409-1215
Phone
(706) 861-6200
Fax
(706) 861-6222
NPI assigned
Mar 28, 2013
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED FOOT CARE, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Ira Henri Kraus, DPMNPI 1588667075
Title
Owner
Phone
(706) 861-6200

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
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3742 Tennessee Ave
Suite 108
Chattanooga, TN 37409-1215

Mailing address

2368 Battlefield Parkway
Ft. Oglethorpe, GA 30742
Phone (706) 861-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319001254 TN Part B Supplier - Clinic/Group Practice 5597655654 Receives reassigned benefits from 39 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, TN; Chattanooga, TN; Cleveland, TN; Hixson, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Advance Foor Care LLP

Locations

3742 Tennessee Ave
Ste 108
Chattanooga, TN 37409
Phone (423) 702-6453

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1992048938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 BATTLEFIELD PARKWAY",
            "city": "FT. OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-861-6200",
            "fax_number": "706-861-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 TENNESSEE AVE",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091215",
            "telephone_number": "706-861-6200",
            "fax_number": "706-861-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED FOOT CARE, LLP",
        "enumeration_date": "2013-03-28",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "HENRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-861-6200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.