FAMILY FOOT CARE CLINIC, PC
NPI 1104316108
Podiatrist in Cedar Rapids, IA

Active since May 15, 2018
3200 F AVENUE NW, CEDAR RAPIDS, IA 52405(319) 362-1947(319) 297-7405 Get Directions Write a Review

NPPES record last updated: December 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2022, May 15, 2018 (2 updates tracked since 2018).

About Family Foot Care Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY FOOT CARE CLINIC, PC (NPI 1104316108) is a healthcare organization registered as a podiatrist in Cedar Rapids, Iowa and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Cedar Rapids and lists Kevin S Tanner, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1104316108
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFAMILY FOOT CARE CLINIC, PC
Location Address3200 F AVENUE NWCedar Rapids, IA 52405
Mailing Address3200 F Avenue NwCedar Rapids, IA 52405 · (319) 362-1947 · Fax (319) 297-7405
Fax(319) 297-7405
Organization SubpartNo
Authorized OfficialKevin S TannerOwner/president · (319) 362-1947
Enumeration DateMay 15, 2018
Last NPPES UpdateDecember 4, 20222 updates tracked since enumeration
NPPES CertifiedDecember 4, 2022
✔ NPI 1104316108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3200 F AVENUE NW, Cedar Rapids, IA 52405

Secondary Practice Location 1

Location 13359 Center Point Rd NECedar Rapids, IA 52402-5568 · Phone (319) 393-4343 · Fax (319) 393-4464

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Foot Care Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Foot Care Clinic, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1053373076
3359 CENTER POINT RD NE
Cedar Rapids, IA 52402
(319) 393-4343
✔ PECOS✔ Accepts Medicare4.9 mi
Podiatry
NPI 1881683829
3359 CENTER POINT RD NE
Cedar Rapids, IA 52402
(319) 393-4343
✔ PECOS✔ Accepts Medicare4.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Foot Care Clinic, PC's NPI number?

The NPI number for Family Foot Care Clinic, PC is 1104316108. It was assigned to this organization in the NPPES registry on May 15, 2018.

Where is Family Foot Care Clinic, PC located?

Family Foot Care Clinic, PC is located at 3200 F Avenue NW, Cedar Rapids, IA 52405. The listed phone number is (319) 362-1947.

What is Family Foot Care Clinic, PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Family Foot Care Clinic, PC enrolled in Medicare?

Yes. Family Foot Care Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Foot Care Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Family Foot Care Clinic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Foot Care Clinic, PC was last updated on December 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.