Lafayette Foot and Ankle Clinic

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07000728 Issued in IN

Legal business name

LAFAYETTE FOOT AND ANKLE CLINIC

Practice address

2700 Lafayette St Ste 230
Fort Wayne, IN 46806-1100

Phone

(260) 458-9953

Fax

(260) 458-9238

NPI assigned

Dec 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benny Fair Jr., DPM

Title

Owner

Phone

(260) 458-9953

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1003099441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LAFAYETTE ST STE 230",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061100",
            "telephone_number": "260-458-9953",
            "fax_number": "260-458-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LAFAYETTE ST STE 230",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061100",
            "telephone_number": "260-458-9953",
            "fax_number": "260-458-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-458-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07000728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00128864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082090A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guilio Lacross, MD
• John Lacunza, M.D.
• Taylor Lacy, RBT
• Joanne E Ladowski, RN, LDE, CDE
• Kendall Lafave, MOT, OTR/L
• Lafayette Foot and Ankle Clinic LLC
• Sonya J Lagassie
• Judy Lagrange, PT
• Taylor Lahee, RBT
• Niloy Lahiri

• Primary Podiatric Medicine Podiatrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.