Organization Active NPI

Lord Foot & Ankle Specialist SC

  • Podiatrist
  • Carol Stream, IL
National Provider Identifier
1063731461
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004900 Issued in IL
Legal business name
LORD FOOT & ANKLE SPECIALIST SC
Practice address
269 W Elk TRL
Carol Stream, IL 60188-9373
Phone
(630) 681-1173
Fax
(630) 868-3948
NPI assigned
May 25, 2010
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
James R Lord, DPMNPI 1760498612
Title
Owner
Phone
(630) 291-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004900 IL Primary

Addresses

Primary practice location

269 W Elk TRL
Carol Stream, IL 60188-9373

Mailing address

269 W Elk TRL
Carol Stream, IL 60188-9373
Phone (630) 681-1173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207001005 IL Part B Supplier - Clinic/Group Practice 8123215829 Receives reassigned benefits from 1 practitioner
Practice locations: Wood Dale, IL; Aurora, IL; Wheaton, IL; Geneva, IL; Glen Ellyn, IL; Algonquin, IL; Carpentersville, IL

National Provider Directory

National Provider Directory

Locations

269 W Elk Trl
Carol Stream, IL 60188
Phone (630) 681-1173

665 Barrington Ave
Carpentersvle, IL 60110
Phone (630) 681-1173

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1063731461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 W ELK TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889373",
            "telephone_number": "630-681-1173",
            "fax_number": "630-868-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W ELK TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889373",
            "telephone_number": "630-681-1173",
            "fax_number": "630-868-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD FOOT & ANKLE SPECIALIST SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-291-6060",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.