NPIMap

Organization Active NPI

Vince J. Coda and Associates

  • Foot Surgery Podiatrist
  • Kendallville, IN
National Provider Identifier
1629287339
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000383A Issued in IN
Legal business name
VINCE J. CODA AND ASSOCIATES
Practice address
410 E Mitchell St
Kendallville, IN 46755-1890
Phone
(260) 347-2833
NPI assigned
May 21, 2007
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Vincent J Coda, DPMNPI 1699708370
Title
Owner
Phone
(260) 347-2833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 07000383A IN Primary

Addresses

Primary practice location

410 E Mitchell St
Kendallville, IN 46755-1890

Mailing address

410 E Mitchell St
P O Box 545
Kendallville, IN 46755-1890
Phone (260) 347-2833

Other identifiers 3

IdentifierTypeStateIssuer
$$$$$$$$$OtherINSOCIAL SECURITY
000000077974OtherINANTHEM BLUE CROSS BLUE SH
07000383AOtherININDIANA STATE MED LICENSE

National Provider Directory

National Provider Directory

Locations

306 E Maumee St
Ste 2
Angola, IN 46703
Phone (260) 665-7595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1629287339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MITCHELL ST",
            "address_2": "P O BOX 545",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551890",
            "telephone_number": "260-347-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MITCHELL ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551890",
            "telephone_number": "260-347-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCE J. CODA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CODA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-347-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000383A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000077974",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE MED LICENSE",
            "identifier": "07000383A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendallville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.