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AREA WIDE FOOT & ANKLE CENTER, P.C.
NPI 1336327642
Clinic/Center - Podiatric in Bettendorf, IA

Active since February 08, 2008
1967 SPRUCE HILLS DR, BETTENDORF, IA 52722(563) 441-0117(563) 355-7396 Get Directions Write a Review

NPPES record last updated: March 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Area Wide Foot & Ankle Center, P.c. NPPES

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

AREA WIDE FOOT & ANKLE CENTER, P.C. (NPI 1336327642) is a healthcare organization registered as a podiatric in Bettendorf, Iowa and active in the NPI registry since February 2008. The organization lists Jim Paul Licandro, Owner, as its authorized official.

NPPES Registry Identity

NPI1336327642
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameAREA WIDE FOOT & ANKLE CENTER, P.C.
Location Address1967 SPRUCE HILLS DRBettendorf, IA 52722-2624
Mailing Address1967 Spruce Hills DrBettendorf, IA 52722-2624 · (563) 441-0117 · Fax (563) 355-7396
Phone(563) 441-0117
Fax(563) 355-7396
Organization SubpartNo
Authorized OfficialJim Paul LicandroOwner · (563) 441-0117
Enumeration DateFebruary 8, 2008
Last NPPES UpdateMarch 8, 2008
✔ NPI 1336327642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in IA · 00705
Also ListedPodiatristTaxonomy 213E00000X · License 00705 (IA)
1967 SPRUCE HILLS DR, Bettendorf, IA 52722
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Other Identifiers 4

Medicare UPINU75668IA
Medicare NSC1312810001IA
Medicare PIN06737IA
Medicaid1197210IA

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY L WILLEY DC
Chiropractor
1967 SPRUCE HILLS DR
BETTENDORF, IA 52722
Scott County (309) 793-7000
ALISHA JONES PODIATRY
Podiatrist (Foot & Ankle Surgery)
1967 SPRUCE HILLS DR
BETTENDORF, IA 52722
Scott County (563) 441-0117
COMPLETE BALANCE CHIROPRACTIC PC
Chiropractor
1967 SPRUCE HILLS DR
BETTENDORF, IA 52722
Scott County (563) 293-3616

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 Area Wide Foot & Ankle Center, P.C.'s NPI number?

The NPI number for Area Wide Foot & Ankle Center, P.C. is 1336327642. It was assigned to this organization in the NPPES registry on February 8, 2008.

Where is Area Wide Foot & Ankle Center, P.C. located?

Area Wide Foot & Ankle Center, P.C. is located at 1967 Spruce Hills Dr, Bettendorf, IA 52722. The listed phone number is (563) 441-0117.

What is Area Wide Foot & Ankle Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Area Wide Foot & Ankle Center, P.C. was last updated on March 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.