SHOAL CREEK FOOT AND ANKLE CENTER LLC
NPI 1538884697
Podiatrist - Foot & Ankle Surgery in Springfield, MO

NPI Status: Active since October 11, 2022

Contact Information

4136 S MCCANN CT
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 755-7612

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About SHOAL CREEK FOOT AND ANKLE CENTER LLC

This page provides the complete NPI Profile along with additional information for Shoal Creek Foot And Ankle Center Llc, a provider established in Springfield, Missouri operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1538884697 assigned on October 2022. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated June 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Shelly Diane Sedberry Dpm (Physician/owner)

NPI
1538884697
Provider Name
SHOAL CREEK FOOT AND ANKLE CENTER LLC
Entity Type
Organization
Location Address
4136 S MCCANN CT SPRINGFIELD, MO 65804
Location Phone
(417) 755-7612
Mailing Address
1801 W 32ND ST STE 102 JOPLIN, MO 64804
Mailing Phone
(417) 622-0648
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2022
Last Update Date
06-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELLY DIANE SEDBERRY DPM

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(417) 622-0648

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538884697
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681688618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 6 + 8 + 8 + 6 + 1 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1538884697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538884697, enumerated in the NPI registry as an "organization" on October 11, 2022

The provider is located at 4136 S Mccann Ct Springfield, Mo 65804 and the phone number is (417) 755-7612

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

This NPI record was last updated on October 11, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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