Organization Active NPI

Northside Foot Clinic, Inc.

  • Primary Podiatric Medicine Podiatrist
  • Carmel, IN
National Provider Identifier
1700946811
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
07000336B Issued in IN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Francis Keyes, DPMNPI 1306928353
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.