NPIMap

Organization Active NPI

Family Podiatry of Dekalb Inc

Doing business as Family Podiatry

  • Podiatrist
  • Sycamore, IL
National Provider Identifier
1316117799
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003556 Issued in IL
Legal business name
FAMILY PODIATRY OF DEKALB INC
Doing business as
Family Podiatry
Practice address
1675 Bethany Rd
Ste B
Sycamore, IL 60178-3124
Phone
(815) 899-2575
Fax
(815) 899-2581
NPI assigned
Mar 3, 2008
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Dr. Neil B Levin, DPMNPI 1306805452
Title
President
Phone
(815) 899-2575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003556 IL Primary

Addresses

Primary practice location

1675 Bethany Rd
Ste B
Sycamore, IL 60178-3124

Mailing address

1675 Bethany Rd
Ste B
Sycamore, IL 60178-3124
Phone (815) 899-2575

Other names 1

  • Family Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1675 Bethany Rd
Ste B
Sycamore, IL 60178
Phone (815) 899-2575

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a5aef48-14ba-4f58-b31d-60b57310cb21/

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1316117799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BETHANY RD",
            "address_2": "STE B",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783124",
            "telephone_number": "815-899-2575",
            "fax_number": "815-899-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BETHANY RD",
            "address_2": "STE B",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783124",
            "telephone_number": "815-899-2575",
            "fax_number": "815-899-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY OF DEKALB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-899-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.