DDK, LC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DDK, LC

Practice address

300 Winding Woods Dr
Suite 214
O Fallon, MO 63366-4771

Phone

(636) 281-8393

Fax

(636) 281-1808

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Daniel D Kiddy, DPM

Title

Owner

Phone

(636) 281-8393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1144482688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WINDING WOODS DR",
            "address_2": "SUITE 214",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664771",
            "telephone_number": "636-281-8393",
            "fax_number": "636-281-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINDING WOODS DR",
            "address_2": "SUITE 214",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664771",
            "telephone_number": "636-281-8393",
            "fax_number": "636-281-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDK, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "KIDDY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-281-8393",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505041400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Davis, M.D.
• Kiara Davis
• Davis, Wright, Berdy & Suffian PC (Allergy Consultants)
• Natalie Day, RD, LD
• DDK LC
• DDK, LC
• DDK, LC
• DDK, LLC
• Michael Jason Dean, RN ANP
• David Christopher Declue, D.C.

• Podiatrist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.