Active NPI
Lafayette Foot and Ankle Clinic
- Primary Podiatric Medicine Podiatrist
- Fort Wayne, IN
National Provider Identifier
1003099441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 07000728
- 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
- Last updated
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07000728 | IN | Primary |
Addresses
Primary practice location
2700 Lafayette St Ste 230
Fort Wayne, IN 46806-1100
Mailing address
2700 Lafayette St Ste 230
Fort Wayne, IN 46806-1100
Phone (260) 458-9953
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Fort Wayne, IN
- NPI 1295838365
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- 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.