Organization Active NPI

Ankle and Foot Clinic of Enid, LLC

  • Foot & Ankle Surgery Podiatrist
  • Enid, OK
National Provider Identifier
1376916742
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
304 Issued in OK
Legal business name
ANKLE AND FOOT CLINIC OF ENID, LLC
Practice address
915 E Garriott Rd
Suite J
Enid, OK 73701-6156
Phone
(580) 297-5184
Fax
(580) 297-5187
NPI assigned
Nov 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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

Authorized official

Name
Dr. Edward Alexander Lebrija, D.P.M.
Title
Podiatrist
Phone
(580) 297-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 304 OK Primary

Addresses

Primary practice location

915 E Garriott Rd
Suite J
Enid, OK 73701-6156

Mailing address

915 E Garriott Rd
Suite J
Enid, OK 73701-6156
Phone (580) 297-5184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446854400000",
    "number": "1376916742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD",
            "address_2": "SUITE J",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-297-5184",
            "fax_number": "580-297-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD",
            "address_2": "SUITE J",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-297-5184",
            "fax_number": "580-297-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CLINIC OF ENID, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-07",
        "last_updated": "2015-11-07",
        "status": "A",
        "authorized_official_last_name": "LEBRIJA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "580-297-5184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; 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.