Active NPI
John Edward Lockyer
- Foot & Ankle Surgery Podiatrist
- Mineral Wells, TX
National Provider Identifier
1184824138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1088P
- Legal business name
- JOHN EDWARD LOCKYER
- Practice address
- 505 SW 1St St
Mineral Wells, TX 76067-5207 - Phone
- (940) 325-0778
- Fax
- (940) 328-1092
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Edward Lockyer, DPM
- Title
- Physician/ Owner
- Phone
- (940) 325-0778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1088P | TX | Primary |
Addresses
Primary practice location
505 SW 1St St
Mineral Wells, TX 76067-5207
Mailing address
505 SW 1St St
Mineral Wells, TX 76067-5207
Phone (940) 325-0778
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5821061 | Other | TX | AETNA |
| 8V1530 | Other | TX | BLUE CROSS BLUE SHIELD |
| 018629801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1184824138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SW 1ST ST",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760675207",
"telephone_number": "940-325-0778",
"fax_number": "940-328-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SW 1ST ST",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760675207",
"telephone_number": "940-325-0778",
"fax_number": "940-328-1092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN EDWARD LOCKYER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "LOCKYER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICIAN/ OWNER",
"authorized_official_telephone_number": "940-325-0778",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1088P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5821061",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8V1530",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018629801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.