NPIMap

Organization Active NPI

Laser Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Mount Airy, MD
National Provider Identifier
1699144758
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01423 Issued in MD
Legal business name
LASER PODIATRY
Practice address
1001 Twin Arch Rd
Suite B3
Mount Airy, MD 21771-4138
Phone
(301) 829-5111
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Jennifer Mullendore, DPMNPI 1912902545
Title
Owner
Phone
(301) 829-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01423 MD Primary

Addresses

Primary practice location

1001 Twin Arch Rd
Suite B3
Mount Airy, MD 21771-4138

Mailing address

1001 Twin Arch Rd
Suite B3
Mount Airy, MD 21771-4138
Phone (301) 829-5111

National Provider Directory

National Provider Directory
Tax ID family
Laser Pod Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1699144758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TWIN ARCH RD",
            "address_2": "SUITE B3",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714138",
            "telephone_number": "301-829-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWIN ARCH RD",
            "address_2": "SUITE B3",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714138",
            "telephone_number": "301-829-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "MULLENDORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-829-5111",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.