Lafayette Foot and Ankle Clinic LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAFAYETTE FOOT AND ANKLE CLINIC LLC

Practice address

2700 Lafayette St
Suite 100
Fort Wayne, IN 46806-1100

Phone

(260) 458-9953

Fax

(260) 458-9238

NPI assigned

Nov 8, 2011

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., DPMNPI 1295838365

Title

Ceo

Phone

(260) 458-9953

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benny Fair Jr., D.P.M.

  • Podiatrist
  • Fort Wayne, IN
  • NPI 1295838365
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1003193814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LAFAYETTE ST",
            "address_2": "SUITE 100",
            "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",
            "address_2": "SUITE 100",
            "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "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": "CEO",
        "authorized_official_telephone_number": "260-458-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082090A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Podiatrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.