Organization Active NPI

Indiana Children'S Foot and Ankle Center LLC

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1104467653
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
INDIANA CHILDREN'S FOOT AND ANKLE CENTER LLC
Practice address
7412 Rockville Rd Ste a
Indianapolis, IN 46214-3098
Phone
(317) 346-7722
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Patrick Deheer, MDNPI 1639172034
Title
Partner
Phone
(317) 346-7722

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

7412 Rockville Rd Ste a
Indianapolis, IN 46214-3098

Mailing address

7412 Rockville Rd Ste a
Indianapolis, IN 46214-3098
Phone (317) 346-7722

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1104467653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 ROCKVILLE RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143098",
            "telephone_number": "317-346-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 ROCKVILLE RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143098",
            "telephone_number": "317-346-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CHILDREN'S FOOT AND ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "DEHEER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "317-346-7722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.