Liberty Lake Foot & Ankle PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

LIBERTY LAKE FOOT & ANKLE PLLC

Practice address

23505 E Appleway Ave Ste 104
Liberty Lake, WA 99019-6003

Phone

(509) 742-0093

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Dow, DPMNPI 1184826828

Title

DPM

Phone

(509) 742-0093

Specialties & licenses 1

Addresses

Locations

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.

• Kevin William Dow, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Spokane, WA
  • NPI 1184826828
  Authorized official Same address or phone

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1154988418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23505 E APPLEWAY AVE STE 104",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196003",
            "telephone_number": "509-742-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 E APPLEWAY AVE STE 104",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196003",
            "telephone_number": "509-742-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY LAKE FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "509-742-0093",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Lake Couple and Family Therapy, LLC (Liberty Lake Couple and Family Therapy)
• Liberty Lake Direct Primary Care PLLC (Liberty Lake DPC)
• Liberty Lake Eyecare Center PS
• Liberty Lake Family & Sports Medicine, P.S.
• Liberty Lake Family Dentistry
• Liberty Lake Medical Supply
• Liberty Lake Medical Supply, LLC
• Lilac Family Eye Care, PLLC (Lilac Family Eye Care)
• Eleanor Martha Limmer, M.S.W.
• Rachel Livingston, RN, BSN

• Podiatric Clinic/Center in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Podiatric Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.