NPIMap

Organization Active NPI

Illiana Foot & Ankle Specialists, P.C.

  • Podiatrist
  • Dyer, IN
National Provider Identifier
1831209519
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000920A Issued in IN
Legal business name
ILLIANA FOOT & ANKLE SPECIALISTS, P.C.
Practice address
425 US Route 30
Ste 400
Dyer, IN 46311-1768
Phone
(219) 864-3204
Fax
(219) 864-3211
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. John P Rachoy, DPM
Title
Owner/President
Phone
(219) 864-3204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 07000920A IN Primary

Addresses

Primary practice location

425 US Route 30
Ste 400
Dyer, IN 46311-1768

Mailing address

425 US Route 30
Ste 400
Dyer, IN 46311-1768
Phone (219) 864-3204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1831209519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 US ROUTE 30",
            "address_2": "STE 400",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111768",
            "telephone_number": "219-864-3204",
            "fax_number": "219-864-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 US ROUTE 30",
            "address_2": "STE 400",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111768",
            "telephone_number": "219-864-3204",
            "fax_number": "219-864-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLIANA FOOT & ANKLE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RACHOY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "219-864-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000920A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.