Organization Active NPI

Foot & Ankle Specialty Clinic Inc.

  • Podiatrist
  • Shreveport, LA
National Provider Identifier
1326355280
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD166R Issued in LA
Legal business name
FOOT & ANKLE SPECIALTY CLINIC INC.
Practice address
1714 Kings Hwy
Shreveport, LA 71103-4152
Phone
(318) 636-2669
Fax
(318) 636-2663
NPI assigned
Sep 13, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Alaye Eldred Whyte, DPMNPI 1134138290
Title
President
Phone
(318) 636-2669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD166R LA Primary

Addresses

Primary practice location

1714 Kings Hwy
Shreveport, LA 71103-4152

Mailing address

1714 Kings Hwy
Shreveport, LA 71103-4152
Phone (318) 636-2669

Other identifiers 1

IdentifierTypeStateIssuer
1674541MedicaidLA

National Provider Directory

National Provider Directory

Locations

1714 Kings Hwy
Shreveport, LA 71103
Phone (318) 636-2669

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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1326355280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034152",
            "telephone_number": "318-636-2669",
            "fax_number": "318-636-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034152",
            "telephone_number": "318-636-2669",
            "fax_number": "318-636-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALTY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "ALAYE",
        "authorized_official_middle_name": "ELDRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-636-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD166R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1674541",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.