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NPI · 1639391907 · NPPES-sourced

Kirk M Bott Dba Logan Avenue Foot Clinic

ActiveFoot & Ankle Surgery Podiatrist
NPI Number
1639391907
Type 2 · Organisation
Taxonomy Code
213ES0103X
Contact
(217) 442-4186
License IL · 016003907
Last Updated
Enumerated
Primary practice addressIL · 61832
612 N Logan AvenueDanville, IL 61832
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About this NPIWhat this record shows.

NPI 1639391907 is registered to Kirk M Bott Dba Logan Avenue Foot Clinic, a healthcare organisation classified as "Foot & Ankle Surgery Podiatrist" and located at 612 N Logan Avenue in Danville, Illinois. The organisation's authorised official is Kirk Bott. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1376655019IL· Issued by INDIVIDUAL NPI #
  • 4449930001· Issued by DMERC
  • CE0883· Issued by RAILROAD MEDICARE GROUP
  • 1649379504IL· Issued by INDIVIDUAL NPI #
  • 480010681· Issued by RAILROAD MEDICARE INDIVID
  • P00380788· Issued by RAILROAD MEDICARE INDIVID

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kirk M Bott Dba Logan Avenue Foot Clinic accepts. To confirm in-network status with your specific health plan, contact Kirk M Bott Dba Logan Avenue Foot Clinic directly at (217) 442-4186.

Frequently asked

Yes. NPI 1639391907 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Foot & Ankle Surgery Podiatrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (217) 442-4186.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kirk M Bott Dba Logan Avenue Foot Clinic is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy213ES0103X
Last updated
Enumerated
StatusActive
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