Organization Active NPI

John E Laco DPM PA

  • Podiatrist
  • Lakeville, MN
National Provider Identifier
1518179878
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
420 Issued in MN
Legal business name
JOHN E LACO DPM PA
Practice address
10651 165TH Street West
Lakeville, MN 55044
Phone
(952) 435-3553
Fax
(952) 241-3806
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
John Edward Laco, DPM
Title
Podiatrist
Phone
(952) 435-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
473725300MedicaidMN
59222LAOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

4660 Slater Rd
Ste 146
Eagan, MN 55122
Phone (651) 688-2505

4660 Slater Rd
Saint Paul, MN 55122

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1518179878",
    "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": {
        "organization_name": "JOHN E LACO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "LACO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "952-435-3553",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": "BCBS",
            "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 Jan 22, 2008; 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.