Provider Demographics
NPI:1164956868
Name:FOOT CARE PLUS LLC
Entity Type:Organization
Organization Name:FOOT CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:TON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:816-225-2557
Mailing Address - Street 1:9218 METCALF AVE # 287
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1476
Mailing Address - Country:US
Mailing Address - Phone:816-225-2557
Mailing Address - Fax:816-434-5748
Practice Address - Street 1:9218 METCALF AVE # 287
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1476
Practice Address - Country:US
Practice Address - Phone:816-225-2557
Practice Address - Fax:816-434-5748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1200375213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOPTAN3402001Medicare PIN