Active NPI
Reconstructive Foot & Ankle Specialists, LLC
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
National Provider Identifier
1285769372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200847960A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.