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GRAND FORKS FOOT AND ANKLE CLINIC, PLLC
NPI 1164647822
Podiatrist - Foot & Ankle Surgery in Grand Forks, ND

Active since April 16, 2007
1451 44TH AVE S STE 128D, GRAND FORKS, ND 58201(701) 738-2770 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Forks Foot And Ankle Clinic, Pllc NPPES

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

GRAND FORKS FOOT AND ANKLE CLINIC, PLLC (NPI 1164647822) is a healthcare organization registered as a foot & ankle surgery in Grand Forks, North Dakota and active in the NPI registry since April 2007. The organization lists John Carlyle Miller, President, as its authorized official.

NPPES Registry Identity

NPI1164647822
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGRAND FORKS FOOT AND ANKLE CLINIC, PLLC
Location Address1451 44TH AVE S STE 128DGrand Forks, ND 58201-3434
Mailing Address1451 44th Ave S Ste 128dGrand Forks, ND 58201-3434 · (701) 738-2770
Phone(701) 738-2770
Organization SubpartNo
Authorized OfficialJohn Carlyle MillerPresident · (701) 738-2770
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 14, 2008
✔ NPI 1164647822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in ND · 48
1451 44TH AVE S STE 128D, Grand Forks, ND 58201
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Other Identifiers 4

Other06740-001ND · Blure Cross Blue Shield
Medicare ID-Type Unspecified711805ND
Medicaid13707ND
Medicare NSC5651050001ND

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

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 Grand Forks Foot And Ankle Clinic, PLLC's NPI number?

The NPI number for Grand Forks Foot And Ankle Clinic, PLLC is 1164647822. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Grand Forks Foot And Ankle Clinic, PLLC located?

Grand Forks Foot And Ankle Clinic, PLLC is located at 1451 44th Ave S Ste 128D, Grand Forks, ND 58201. The listed phone number is (701) 738-2770.

What is Grand Forks Foot And Ankle Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Grand Forks Foot And Ankle Clinic, PLLC was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.