Active NPI
Carmen Rivero Carland, DPM
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
National Provider Identifier
1790480333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36.004246
- Practice address
- 15800 Detroit Ave
Ste B
Lakewood, OH 44107-3749 - Phone
- (216) 363-2353
- Fax
- (216) 696-7375
- NPI assigned
- Apr 3, 2023
- Last updated
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36.004246 | OH | Primary |
Addresses
Primary practice location
15800 Detroit Ave
Ste B
Lakewood, OH 44107-3749
Mailing address
1023 Keystone Dr
Cleveland, OH 44121-2442
Phone (619) 318-3333
Other practice location 1
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Point Medical Group, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
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": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1790480333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 KEYSTONE DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441212442",
"telephone_number": "619-318-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 DETROIT AVE",
"address_2": "STE B",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073749",
"telephone_number": "216-363-2353",
"fax_number": "216-696-7375"
}
],
"practiceLocations": [
{
"address_1": "3569 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441025443",
"country_code": "US",
"telephone_number": "216-281-0872",
"fax_number": "216-961-5429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLAND",
"first_name": "CARMEN",
"middle_name": "RIVERO",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36.004246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.