Organization Active NPI

First Podiatry Center PC

  • Foot & Ankle Surgery Podiatrist
  • Plainfield, IL
National Provider Identifier
1144414129
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004837 Issued in IL
Legal business name
FIRST PODIATRY CENTER PC
Practice address
24039 W Lockport St
Plainfield, IL 60544-1652
Phone
(815) 254-3338
Fax
(815) 436-8367
NPI assigned
Aug 31, 2007
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Christopher John JapourNPI 1992819916
Title
Director
Phone
(630) 439-4343

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
Foot & Ankle Surgery Podiatrist 213ES0103X 016004837 IL Primary

Addresses

Primary practice location

24039 W Lockport St
Plainfield, IL 60544-1652

Mailing address

PO Box 1482
Plainfield, IL 60544-3482

Other identifiers 1

IdentifierTypeStateIssuer
K26003OtherILMEDICARE MEMBER#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000265 IL Part B Supplier - Clinic/Group Practice 8820005200 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, IL

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1144414129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24039 W LOCKPORT ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441652",
            "telephone_number": "815-254-3338",
            "fax_number": "815-436-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "JAPOUR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-439-4343"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER#",
            "identifier": "K26003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.