Organization Active NPI

Reconstructive Foot & Ankle Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1285769372
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC
Practice address
7920 W Jefferson Blvd
Suite 230
Fort Wayne, IN 46804-4168
Phone
(260) 432-7600
Fax
(260) 436-8498
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Jonathan Norton
Title
President
Phone
(260) 432-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IN Primary

Addresses

Primary practice location

7920 W Jefferson Blvd
Suite 230
Fort Wayne, IN 46804-4168

Mailing address

7920 W Jefferson Blvd
Suite 230
Fort Wayne, IN 46804-4168
Phone (260) 432-7600

Other identifiers 1

IdentifierTypeStateIssuer
200847960AMedicaidIN

National Provider Directory

National Provider Directory

Locations

7920 W Jefferson Blvd
Ste 230
Fort Wayne, IN 46804
Phone (260) 432-7600

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1285769372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 W JEFFERSON BLVD",
            "address_2": "SUITE 230",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044168",
            "telephone_number": "260-432-7600",
            "fax_number": "260-436-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 W JEFFERSON BLVD",
            "address_2": "SUITE 230",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044168",
            "telephone_number": "260-432-7600",
            "fax_number": "260-436-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-432-7600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200847960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.