NPIMap

Organization Active NPI

Monroe Foot Clinic SC

  • Podiatrist
  • Monroe, WI
National Provider Identifier
1992775787
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
712025 Issued in WI
Legal business name
MONROE FOOT CLINIC SC
Practice address
1500 11TH St
Monroe, WI 53566
Phone
(608) 325-9175
Fax
(608) 325-9176
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Charles F Kind, DPM
Title
Dr Owner
Phone
(608) 325-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 712025 WI Primary

Addresses

Primary practice location

1500 11TH St
Monroe, WI 53566

Mailing address

1500 11TH St
Monroe, WI 53566
Phone (608) 325-9175

Other identifiers 3

IdentifierTypeStateIssuer
43264500MedicaidWI
480025121OtherRETIRED RAILROAD MED
549725OtherWIDEAN CARE

National Provider Directory

National Provider Directory

Locations

1500 11th St
Monroe, WI 53566
Phone (608) 325-9175

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9feb53c1-4d54-4b5c-a925-41e507b3918a/

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1992775787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "53566",
            "telephone_number": "608-325-9175",
            "fax_number": "608-325-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "53566",
            "telephone_number": "608-325-9175",
            "fax_number": "608-325-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE FOOT CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "KIND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "608-325-9175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "712025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43264500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MED",
            "identifier": "480025121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN CARE",
            "identifier": "549725",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.