Active NPI
Podiatry Care Plus LLC
Doing business as Podiatry Care Plus
- Foot & Ankle Surgery Podiatrist
- Laurel, MD
National Provider Identifier
1336798719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PODIATRY CARE PLUS LLC
- Doing business as
- Podiatry Care Plus
- Practice address
- 14201 Laurel Park Dr Ste 214
Laurel, MD 20707-5203 - Phone
- (240) 295-0405
- Fax
- (240) 270-1024
- NPI assigned
- Sep 9, 2019
- 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
- Chris Kirby
- Title
- Administrator
- Phone
- (301) 651-3980
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
14201 Laurel Park Dr Ste 214
Laurel, MD 20707-5203
Mailing address
6030 Daybreak Cir A150/118
Clarksville, MD 21029-1642
Phone (301) 565-2250
Other names 1
- PODIATRY CARE PLUS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6030 Daybreak Cir
Ste A150118
Clarksville, MD 21029
6030 Daybreak Cir
#A150180
Clarksville, MD 21029
6030 Daybreak Cir
#A150118
Clarksville, MD 21029
14201 Laurel Park Dr
Ste 214
Laurel, MD 20707
Phone (240) 294-1808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681862400000",
"number": "1336798719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6030 DAYBREAK CIR A150/118",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291642",
"telephone_number": "301-565-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 LAUREL PARK DR STE 214",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075203",
"telephone_number": "240-295-0405",
"fax_number": "240-270-1024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY CARE PLUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-09",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-651-3980"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PODIATRY CARE PLUS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.