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MAGIC VALLEY FOOT AND ANKLE SPECIALISTS, PLLC

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Company Details

Name: MAGIC VALLEY FOOT AND ANKLE SPECIALISTS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 415107
Place of Formation: IDAHO
File Number: 415107
ZIP code: 83301
County: Twin Falls County
Principal Address: 496 B SHOUP AVE W TWIN FALLS, ID 83301
Mailing Address: 115 NORTHSTAR AVE TWIN FALLS, ID 83301-4073

Agent

Name Role Address
CALEB ROBERTS Agent 115 NORTHSTAR AVE, TWIN FALLS, ID 83301-4073

Member

Name Role Address Appointed On
CALEB ROBERTS Member 115 NORTHSTAR AVE, TWIN FALLS, ID 83301-4073 2021-02-03

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
DAL5VJQMYFB8
CAGE Code:
94Y63
UEI Expiration Date:
2025-10-04

Business Information

Doing Business As:
MAGIC VALLEY FOOT & ANKLE SPECIAL
Division Name:
MAGIC VALLEY FOOT & ANKLE SPECIALISTS, PLLC
Activation Date:
2024-10-08
Initial Registration Date:
2021-08-25

National Provider Identifier

NPI Number:
1609296326

Authorized Person:

Name:
CALEB ROBERTS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006090276 2025-02-03
Annual Report 0005583346 2024-02-04
Annual Report 0005091991 2023-02-03
Statement of Change of Business Mailing Address 0004939163 2022-10-05
Annual Report 0004591768 2022-02-03

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
31600.00
Total Face Value Of Loan:
31600.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
31600
Current Approval Amount:
31600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
31866.65

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State