Organization Active NPI

John R. Carradine, D.P.M., L.L.C.

  • Podiatrist
  • Metairie, LA
National Provider Identifier
1780775890
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD0111 Issued in LA
Legal business name
JOHN R. CARRADINE, D.P.M., L.L.C.
Practice address
3800 Houma Blvd
Ste 260
Metairie, LA 70006-4184
Phone
(504) 888-2797
Fax
(504) 888-2637
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. John Rembert Carradine, D.P.M.
Title
Owner
Phone
(504) 888-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PD0111 LA Primary

Addresses

Primary practice location

3800 Houma Blvd
Ste 260
Metairie, LA 70006-4184

Mailing address

3800 Houma Blvd
Ste 260
Metairie, LA 70006-4184
Phone (504) 888-2797

National Provider Directory

National Provider Directory

Locations

3800 Houma Blvd
Ste 260
Metairie, LA 70006
Phone (504) 888-2797

Practitioners & affiliated clinicians

Practitioners 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1780775890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "STE 260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064184",
            "telephone_number": "504-888-2797",
            "fax_number": "504-888-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "STE 260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064184",
            "telephone_number": "504-888-2797",
            "fax_number": "504-888-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. CARRADINE, D.P.M., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "CARRADINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REMBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-888-2797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.