Coeur D' Alene Foot & Ankle Clinic LLC

Key facts

NPI

1174816144

Entity type

Organization (NPI type 2)

Primary specialty

Foot & Ankle Surgery Podiatrist 213ES0103X

Legal business name

COEUR D' ALENE FOOT & ANKLE CLINIC LLC

Practice address

101 W Ironwood Dr
Suite 131
Coeur D Alene, ID 83814-1409

Phone

(208) 666-0605

Fax

(208) 666-0916

NPI assigned

May 24, 2011

Organization subpart

No

Authorized official

Name

Orlando E Nunez, M.D., DPM NPI 1821274259

Title

Owner

Phone

(208) 666-0605

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orlando E. Nunez, DPM, MD Foot & Ankle Surgery Podiatrist · Coeur D Alene, ID · NPI 1821274259
  Medicare reassignment NPD Authorized official FOOT & ANKLE SURGERY · ID

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in ID

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 24, 2011.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1174816144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W IRONWOOD DR",
            "address_2": "SUITE 131",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141409",
            "telephone_number": "208-666-0605",
            "fax_number": "208-666-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W IRONWOOD DR",
            "address_2": "SUITE 131",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141409",
            "telephone_number": "208-666-0605",
            "fax_number": "208-666-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COEUR D' ALENE FOOT & ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-666-0605",
        "authorized_official_credential": "M.D., DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

• Coeur D Alene Physical Therapy and Sports Medicine PA
• Coeur D Alene Plastic Surgery PLLC
• Coeur D Alene Primary Care PLLC
• Coeur D Alene Spine and Brain PLLC
• Coeur D Mind
• Coeur D' Alene Oral Surgery
• Coeur D'Alene Denture Clinic LLC
• Coeur D'Alene OB/GYN, PA
• Coeur D'Alene Partners, LLC Dba Creekside Inn Assisted Living Alz Comm
• Coeur D'Alene Pediatrics PA

All providers in Coeur D Alene, ID · Foot & Ankle Surgery Podiatrist in Idaho