Northlake Foot and Ankle Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NORTHLAKE FOOT AND ANKLE INC.

Practice address

233 St Ann Dr
Suite 4
Mandeville, LA 70471-3395

Phone

(985) 727-3936

Fax

(985) 727-3525

NPI assigned

Sep 6, 2006

Last updated

Jun 23, 2014By 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

Kenneth QuickNPI 1235174434

Title

Owner

Phone

(985) 727-3936

Specialties & licenses 1

Addresses

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.

• Kenneth Quick, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mandeville, LA
  • NPI 1235174434
  Authorized official Same address or phone

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1205939303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ST ANN DR",
            "address_2": "SUITE 4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713395",
            "telephone_number": "985-727-3936",
            "fax_number": "985-727-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ST ANN DR",
            "address_2": "SUITE 4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713395",
            "telephone_number": "985-727-3936",
            "fax_number": "985-727-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE FOOT AND ANKLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-727-3936"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.