Active NPI
Foot and Ankle Care, LTD.
- Foot & Ankle Surgery Podiatrist
- Orland Park, IL
National Provider Identifier
1730267659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004283
- Legal business name
- FOOT AND ANKLE CARE, LTD.
- Practice address
- 11308 Distinctive Dr
Orland Park, IL 60467-9459 - Phone
- (708) 479-6460
- Fax
- (708) 479-6462
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 2, 2009
- 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. Carol J Moore, D.P.M.
- Title
- Owner
- Phone
- (708) 479-6460
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004283 | IL | Primary |
Addresses
Primary practice location
11308 Distinctive Dr
Orland Park, IL 60467-9459
Mailing address
11308 Distinctive Dr
Orland Park, IL 60467-9459
Phone (708) 479-6460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
11308 Distinctive Dr
Orland Park, IL 60467
Phone (708) 479-6460
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Orland Park, IL
- NPI 1801856927
-
- Foot Surgery Podiatrist
- Flossmoor, IL
- NPI 1871521286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257120000000",
"number": "1730267659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11308 DISTINCTIVE DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604679459",
"telephone_number": "708-479-6460",
"fax_number": "708-479-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11308 DISTINCTIVE DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604679459",
"telephone_number": "708-479-6460",
"fax_number": "708-479-6462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CARE, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2009-11-02",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-479-6460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.