Organization Active NPI

Gina Marie Bakiares DPM, P.C.

  • Podiatrist
  • Aurora, IL
National Provider Identifier
1659555688
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003316 Issued in IL
Legal business name
GINA MARIE BAKIARES DPM, P.C.
Practice address
2020 Ogden Ave.
Suite 140
Aurora, IL 60504-6065
Phone
(630) 851-1329
Fax
(630) 851-8837
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Gina Bakiares, D.P.M.
Title
Director
Phone
(630) 852-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016003316 IL Primary

Addresses

Primary practice location

2020 Ogden Ave.
Suite 140
Aurora, IL 60504-6065

Mailing address

4236 White Birch Dr
Lisle, IL 60532-1251
Phone (630) 852-0888

Other identifiers 1

IdentifierTypeStateIssuer
016003316MedicaidIL

Other names 1

  • Happy Foot Clinics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1659555688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 WHITE BIRCH DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321251",
            "telephone_number": "630-852-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE.",
            "address_2": "SUITE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046065",
            "telephone_number": "630-851-1329",
            "fax_number": "630-851-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA MARIE BAKIARES DPM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "BAKIARES",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-852-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003316",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Foot Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

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