Individual provider Active NPI

Carol Florence La Rose, D.P.M.

  • Foot Surgery Podiatrist
  • Anchorage, AK
National Provider Identifier
1770611667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5466 Issued in AK
Practice address
2741 Debarr Rd Ste C315
Anchorage, AK 99508-2992
Phone
(907) 562-4958
Fax
(907) 562-5195
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5466 AK Primary

Addresses

Primary practice location

2741 Debarr Rd Ste C315
Anchorage, AK 99508-2992

Mailing address

2741 Debarr Rd Ste C315
Anchorage, AK 99508-2992
Phone (907) 562-4958

Other identifiers 1

IdentifierTypeStateIssuer
PD3191MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5466AKMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Springer Clinic Inc Past Accepting new patients
Alaska Podiatry Associates, a Professional Corporation Foot Surgery PastSince Jul 5, 1994 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770611667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082992",
            "telephone_number": "907-562-4958",
            "fax_number": "907-562-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082992",
            "telephone_number": "907-562-4958",
            "fax_number": "907-562-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROSE",
        "first_name": "CAROL",
        "middle_name": "FLORENCE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AK",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD3191",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.