Active NPI
Northside Foot Clinic, Inc.
- Primary Podiatric Medicine Podiatrist
- Carmel, IN
National Provider Identifier
1700946811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 07000336B
- Legal business name
- NORTHSIDE FOOT CLINIC, INC.
- Practice address
- 2000 E 116TH St
Suite 103
Carmel, IN 46032-3508 - Phone
- (317) 844-5523
- Fax
- (317) 587-0164
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Francis Keyes, DPM
- Title
- President
- Phone
- (317) 844-5523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07000336B | IN | Primary |
Addresses
Primary practice location
2000 E 116TH St
Suite 103
Carmel, IN 46032-3508
Mailing address
2000 E 116TH St
Suite 103
Carmel, IN 46032-3508
Phone (317) 844-5523
National Provider Directory
National Provider DirectoryLocations
2000 E 116th St
Ste 103
Carmel, IN 46032
Phone (317) 251-0150
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.
-
- Podiatrist
- Carmel, IN
- NPI 1306928353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700946811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E 116TH ST",
"address_2": "SUITE 103",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323508",
"telephone_number": "317-844-5523",
"fax_number": "317-587-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E 116TH ST",
"address_2": "SUITE 103",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323508",
"telephone_number": "317-844-5523",
"fax_number": "317-587-0164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSIDE FOOT CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KEYES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-844-5523",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IN",
"license": "07000336B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.