Active NPI
Vincent J Coda, DPM
- Podiatrist
- Kendallville, IN
National Provider Identifier
1699708370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000383A
- Practice address
- 410 E Mitchell St
Kendallville, IN 46755 - Phone
- (260) 347-2833
- Fax
- (260) 347-1724
- NPI assigned
- Jul 8, 2006
- Last updated
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 07000383A | IN | Primary |
Addresses
Primary practice location
410 E Mitchell St
Kendallville, IN 46755
Mailing address
1234 E. Dupont Rd.
Suite 3
Fort Wayne, IN 46825-1545
Phone (260) 373-9700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200917400 | Medicaid | IN | |
| P00732020 | Other | IN | RAILROAD MEDICARE |
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
Organizations & group practices 1
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.
-
- Foot Surgery Podiatrist
- Kendallville, IN
- NPI 1629287339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1699708370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E. DUPONT RD.",
"address_2": "SUITE 3",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251545",
"telephone_number": "260-373-9700",
"fax_number": "260-373-9740"
},
{
"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": "46755",
"telephone_number": "260-347-2833",
"fax_number": "260-347-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODA",
"first_name": "VINCENT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000383A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200917400",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00732020",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kendallville, IN
- Thomas Chronister, RPH
- Jeffery Lee Ciocca, PT
- City of Kendallville Fire Department
- Cynthia Lynn Clark, MSW, LCSW, ACSW
- Mariah Clark, RBT
- Connie S. Cole, NP-C
- Community Hospital of Noble County, Inc. (Parkview Noble Hospital)
- Community Hospital of Noble County, Inc. (Parkview Noble Hospital)
- Kassidy Conley, RBT
- Connie S Carunchia Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.