Angelic Footcare

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07001108A Issued in IN

Legal business name

ANGELIC FOOTCARE

Practice address

8785 Keystone Xing
1268
Indianapolis, IN 46240-2337

Phone

(317) 397-1718

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tanisha Smith, DPMNPI 1316264187

Title

Podiatrist

Phone

(317) 397-1718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Tanisha Leanna Smith, DPM

  • Primary Podiatric Medicine Podiatrist
  • Indianapolis, IN
  • NPI 1316264187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1457732133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8785 KEYSTONE XING",
            "address_2": "1268",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402337",
            "telephone_number": "317-397-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 KEYSTONE XING",
            "address_2": "1268",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402337",
            "telephone_number": "317-397-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "317-397-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Love Home Healthcare
• Juan Angel, COTA
• Angel'S Charity LLC
• Angel'S Personal Care Services
• Angelas Caring and Loving Home Care LLC
• Angelic Home Care, LLC
• Angelic Home Health, LLC
• Angelic T Helping Hands LLC
• Louis Joseph Angelicchio, M.D.
• Erik Angelotti, PHARMD

• Primary Podiatric Medicine Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.