Organization Active NPI

Carrie a Lakin DPM Inc

  • Podiatrist
  • Charleston, WV
National Provider Identifier
1255467155
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0359 Issued in WV
Legal business name
CARRIE A LAKIN DPM INC
Practice address
331 Laidley St
Suite 602
Charleston, WV 25301-1619
Phone
(304) 347-3668
Fax
(304) 347-3998
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Mrs. Carrie A Lakin, DPM
Title
Ceo
Phone
(304) 347-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0359 WV Primary

Addresses

Primary practice location

331 Laidley St
Suite 602
Charleston, WV 25301-1619

Mailing address

PO Box 11528
Charleston, WV 25339-1528
Phone (304) 347-3668

Other identifiers 1

IdentifierTypeStateIssuer
2103010001MedicaidWV

National Provider Directory

National Provider Directory

Locations

1313 Quarrier St
Ste B
Charleston, WV 25301
Phone (304) 347-3668

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1255467155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11528",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391528",
            "telephone_number": "304-347-3668",
            "fax_number": "304-347-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 602",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-347-3668",
            "fax_number": "304-347-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE A LAKIN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-347-3668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "0359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103010001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.