A Complete Foot Center LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PD0114 Issued in LA

Legal business name

A COMPLETE FOOT CENTER LLC

Practice address

212 W McNeese St
Lake Charles, LA 70605

Phone

(337) 474-2233

Fax

(337) 478-1994

NPI assigned

Sep 26, 2007

Last updated

Feb 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte D Vang, DPMNPI 1700867785

Title

Owner Podiatrist

Phone

(337) 474-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Charlotte D Vang, DPM

  • Podiatrist
  • Merced, CA
  • NPI 1700867785
  NPD (past) Authorized official
• Daniel Thomas Hall IV, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
  • NPI 1891124665
  NPD (past)
• Mallory Michelle Przybylski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
  • NPI 1437449915
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1770770414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-474-2233",
            "fax_number": "337-478-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-474-2233",
            "fax_number": "337-478-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COMPLETE FOOT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "337-474-2233",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD0114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1131814",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.