Organization Active NPI

Doctor Footfixer, PC

  • Podiatric Clinic/Center
  • Lagrange, IN
National Provider Identifier
1013557743
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
DOCTOR FOOTFIXER, PC
Practice address
400 Union St
Lagrange, IN 46761-2286
Phone
(260) 499-0888
Fax
(260) 846-6614
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Lori Best
Title
Secretary
Phone
(574) 536-6495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

400 Union St
Lagrange, IN 46761-2286

Mailing address

4 Holly LN
Elkhart, IN 46514-4045
Phone (574) 536-6495

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1013557743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HOLLY LN",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144045",
            "telephone_number": "574-536-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNION ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612286",
            "telephone_number": "260-499-0888",
            "fax_number": "260-846-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR FOOTFIXER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "574-536-6495"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.