NPIMap

Organization Active NPI

Robert & Dawn Lagone DPM PC

  • Podiatrist
  • Bettendorf, IA
National Provider Identifier
1013179506
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00484 Issued in IA
Legal business name
ROBERT & DAWN LAGONE DPM PC
Practice address
1020 Spruce Hills Dr
Bettendorf, IA 52722-2356
Phone
(563) 359-3000
Fax
(563) 359-1611
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Teletha Jean Maxson, INTERNET SECURITY
Title
Billing
Phone
(563) 263-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00542 IA
Podiatrist 213E00000X 00484 IA Primary

Addresses

Primary practice location

1020 Spruce Hills Dr
Bettendorf, IA 52722-2356

Mailing address

1020 Spruce Hills Drive
Bettendorf, IA 52722-2356
Phone (563) 359-3000

Other identifiers 1

IdentifierTypeStateIssuer
0444695MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Robert and Dawn Lagone2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1013179506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SPRUCE HILLS DRIVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222356",
            "telephone_number": "563-359-3000",
            "fax_number": "563-359-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SPRUCE HILLS DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222356",
            "telephone_number": "563-359-3000",
            "fax_number": "563-359-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT & DAWN LAGONE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MAXSON",
        "authorized_official_first_name": "TELETHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "563-263-0000",
        "authorized_official_credential": "INTERNET SECURITY"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00542",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444695",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.