Active NPI
John E Laco, DPM
- Podiatrist
- Lakeville, MN
National Provider Identifier
1487615498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 420
- Practice address
- 10651 165TH Street West
Lakeville, MN 55044 - Phone
- (952) 435-3553
- Fax
- (952) 241-3806
- NPI assigned
- Mar 29, 2006
- Last updated
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 420 | MN | Primary |
Addresses
Primary practice location
10651 165TH Street West
Lakeville, MN 55044
Mailing address
10651 165TH Street West
Lakeville, MN 55044
Phone (952) 435-3553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473725300 | Medicaid | MN | |
| 59222LA | Other | MN | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John E. Laco D.P.M., P.a. | Podiatrist | Current | Accepting new patients |
Locations
10651 165th St W
Lakeville, MN 55044
Phone (612) 670-0920
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Eagan, MN
- NPI 1194922138
-
- Podiatrist
- Lakeville, MN
- NPI 1518179878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1487615498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10651 165TH STREET WEST",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "55044",
"telephone_number": "952-435-3553",
"fax_number": "952-241-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 165TH STREET WEST",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "55044",
"telephone_number": "952-435-3553",
"fax_number": "952-241-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACO",
"first_name": "JOHN",
"middle_name": "E",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473725300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "59222LA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.