Active NPI
Lawton Family Foot Clinic Inc
- Podiatrist
- Lawton, OK
National Provider Identifier
1720181621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 153
- Legal business name
- LAWTON FAMILY FOOT CLINIC INC
- Practice address
- 5101 SW Lee Blvd
Lawton, OK 73505-8317 - Phone
- (580) 357-8720
- Fax
- (580) 357-8759
- NPI assigned
- Sep 6, 2006
- 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
- Bryan Cain, DPM
- Title
- Owner/Doctor
- Phone
- (580) 357-8720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 153 | OK | Primary |
Addresses
Primary practice location
5101 SW Lee Blvd
Lawton, OK 73505-8317
Mailing address
5101 SW Lee Blvd
Lawton, OK 73505-8317
Phone (580) 357-8720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1720181621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058317",
"telephone_number": "580-357-8720",
"fax_number": "580-357-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058317",
"telephone_number": "580-357-8720",
"fax_number": "580-357-8759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWTON FAMILY FOOT CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "CAIN",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "580-357-8720",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OK",
"license": "153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.