Organization Active NPI

John Edward Lockyer

  • Foot & Ankle Surgery Podiatrist
  • Mineral Wells, TX
National Provider Identifier
1184824138
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1088P Issued in TX
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

Updated by the provider on May 14, 2014

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5821061OtherTXAETNA
8V1530OtherTXBLUE CROSS BLUE SHIELD
018629801MedicaidTX

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.