NPIMap

Organization Active NPI

Advanced Minimally Invasive Surgical

Doing business as Arizona Foot Health Center

  • Podiatrist
  • Sun City West, AZ
National Provider Identifier
1992486138
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ADVANCED MINIMALLY INVASIVE SURGICAL
Doing business as
Arizona Foot Health Center
Practice address
14418 W Meeker Blvd # B-205
Sun City West, AZ 85375-5283
Phone
(480) 788-5621
Fax
(480) 779-1277
NPI assigned
Jul 31, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED MINIMALLY INVASIVE SURGICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Kiup Alexander Kim, MDNPI 1225242985
Title
Trustee/Owner
Phone
(480) 323-6072

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

14418 W Meeker Blvd # B-205
Sun City West, AZ 85375-5283

Mailing address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone (480) 788-5621

Other names 1

  • Arizona Foot Health Center Doing business as

National Provider Directory

National Provider Directory
Part of
Advanced Minimally Invasive

Locations

5060 N 19th Ave
Ste 105
Phoenix, AZ 85015

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

13640 N 99th Ave
Ste 200
Sun City, AZ 85351
Phone (623) 322-5700

14418 W Meeker Blvd
#B205
Sun City West, AZ 85375
Phone (480) 802-9977

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1992486138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122677",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD # B-205",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755283",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MINIMALLY INVASIVE SURGICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED MINIMALLY INVASIVE SURGICAL",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-09-06",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIUP",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "TRUSTEE/OWNER",
        "authorized_official_telephone_number": "480-323-6072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Foot Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.