Roy R. Moeller D.P.M. P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

396 Issued in MN

Legal business name

ROY R. MOELLER D.P.M. P.A.

Practice address

7770 Dell Rd
Ste 140
Chanhassen, MN 55317-9314

Phone

(952) 934-9360

Fax

(952) 975-0118

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

David A Brandell

Title

Attorney for Corporation

Phone

(952) 944-8344

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kim Daryl Fjelstad, DPM

  • Podiatrist
  • Burnsville, MN
  • NPI 1992795504
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1992985014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 DELL RD",
            "address_2": "STE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179314",
            "telephone_number": "952-934-9360",
            "fax_number": "952-975-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DELL RD",
            "address_2": "STE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179314",
            "telephone_number": "952-934-9360",
            "fax_number": "952-975-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY R. MOELLER D.P.M. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "BRANDELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ATTORNEY FOR CORPORATION",
        "authorized_official_telephone_number": "952-944-8344"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203525100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Marie Rorem, P.T., A.T.C.
• Serena L Rosen
• Claire Roth
• Mandy Marie Rother, RDN, LDN
• Katherine Marie Roush
• Rtgmedical
• Yael M Rubin, LPCC
• Colin Rust, PT, DPT, ATC
• Anne M Rutledge
• Kelsey Ryks, DPT

• Foot & Ankle Surgery Podiatrist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.