NPIMap

Organization Active NPI

Podiatry at Your Door by Dr. Garcia, P.C.

  • Podiatrist
  • Mount Prospect, IL
National Provider Identifier
1821576687
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005735 Issued in IL
Legal business name
PODIATRY AT YOUR DOOR BY DR. GARCIA, P.C.
Practice address
1406 S Chestnut Dr
Mount Prospect, IL 60056-4520
Phone
(773) 512-4938
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Ms. Carmen Garcia, DPMNPI 1194169557
Title
Director
Phone
(708) 320-1510

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 016005735 IL Primary

Addresses

Primary practice location

1406 S Chestnut Dr
Mount Prospect, IL 60056-4520

Mailing address

2440 S Laramie Ave Unit 50646
Cicero, IL 60804-5147
Phone (708) 320-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180925001420 IL Part B Supplier - Clinic/Group Practice 1052662475 Receives reassigned benefits from 5 practitioners
Practice locations: Mt Prospect, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1821576687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 S LARAMIE AVE UNIT 50646",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608045147",
            "telephone_number": "708-320-1510",
            "fax_number": "773-847-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S CHESTNUT DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564520",
            "telephone_number": "773-512-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY AT YOUR DOOR BY DR. GARCIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-320-1510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.