Captain Doc LLC
NPI 1689612483 · Podiatrist · Gladstone, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Captain Doc LLC is a Podiatrist organization in Gladstone, MO (NPI 1689612483).
Provider details
- NPI number
- 1689612483
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kori Taylor, Owner(816) 452-1211
- License
- 000701 (MO)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Family Foot Docs
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2011-08-15
Frequently asked questions
- What is Captain Doc LLC's NPI number?
- Captain Doc LLC's National Provider Identifier (NPI) is 1689612483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Captain Doc LLC?
- Captain Doc LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Captain Doc LLC located?
- Captain Doc LLC's practice location on file with NPPES is 6717 N Oak Trfy, Gladstone, MO 64118-3346.
- What is Captain Doc LLC's phone number?
- The practice phone number listed in the NPPES registry for Captain Doc LLC is (816) 452-1211.
- Does Captain Doc LLC accept Medicare?
- Captain Doc LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Captain Doc LLC?
- The authorized official listed on Captain Doc LLC's NPPES record is Kori Taylor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Captain Doc LLC's NPI active?
- Yes — Captain Doc LLC's NPI (1689612483) is active in the NPPES registry as of the last update on 2011-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.