NPIMap

Organization Active NPI

Laurel Foot and Ankle Center, LLC

  • Podiatrist
  • Laurel, MD
National Provider Identifier
1740302256
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01192 Issued in MD
Legal business name
LAUREL FOOT AND ANKLE CENTER, LLC
Practice address
14440 Cherry Lane CT
Suite 104
Laurel, MD 20707-4946
Phone
(301) 953-3668
Fax
(301) 953-3854
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Francis Joseph Smith, D.P.M.NPI 1437249802
Title
Podiatrist
Phone
(301) 953-3668

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 01192 MD Primary

Addresses

Primary practice location

14440 Cherry Lane CT
Suite 104
Laurel, MD 20707-4946

Mailing address

14440 Cherry Lane CT
Suite 104
Laurel, MD 20707-4946
Phone (301) 953-3668

Other identifiers 2

IdentifierTypeStateIssuer
B810OtherDCBLUE CROSS BLUE SHIELD
LR52LAOtherMDBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041106000174 DC Part B Supplier - Clinic/Group Practice 7113980509 Receives reassigned benefits from 4 practitioners
Practice locations: Laurel, MD; Vienna, VA
O20100930030564 MD DME Supplier - Physician - Podiatry 7113980509 Practice locations: Laurel, MD

National Provider Directory

National Provider Directory
Tax ID family
Laurel Foot and Ankle C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14440 Cherry Lane Ct
Ste 104
Laurel, MD 20707
Phone (301) 358-4201

Practitioners & affiliated clinicians

Practitioners 4

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1740302256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT",
            "address_2": "SUITE 104",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-953-3668",
            "fax_number": "301-953-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT",
            "address_2": "SUITE 104",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "301-953-3668",
            "fax_number": "301-953-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "301-953-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B810",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LR52LA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.