LDDP,LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

316.002694 Issued in IL

Legal business name

LDDP,LLC

Practice address

1429 Pitner Ave
Evanston, IL 60201-3935

Phone

(773) 759-8832

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Daphne Nwankpa

Title

Owner

Phone

(773) 759-8832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Onwukamike Patrick Nwankpa, DPM

  • Podiatrist
  • Evanston, IL
  • NPI 1801143482
  Medicare reassignment NPD

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1366883969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 PITNER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013935",
            "telephone_number": "773-759-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 PITNER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013935",
            "telephone_number": "773-759-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDDP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "NWANKPA",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-759-8832",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "316.002694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jermaine Lawrence Jr.
• Bradley Lazar
• Martin Lewis Lazarus, MD
• Virginia Lynn Lazarus, PSY.D
• LBG Studio PLLC
• Lien Le, D.D.S
• Nghia Le
• Leah Nuetzel Happ, LCSW, PLLC
• Leanna Schneider Psychotherapy LTD
• Leanne N Rodgers PSYD PC

• Podiatrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Podiatrist in Illinois

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

Verify at the official NPI Registry.