Active NPI
Larry J. Wapiennik, DPM, PC
- Foot & Ankle Surgery Podiatrist
- Crown Point, IN
National Provider Identifier
1871812248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000451A
- Legal business name
- LARRY J. WAPIENNIK, DPM, PC
- Practice address
- 11406 Broadway
Crown Point, IN 46307-7106 - Phone
- (219) 663-7737
- Fax
- (219) 663-7733
- NPI assigned
- May 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry J. Wapiennik, D.P.M.
- Title
- President
- Phone
- (219) 663-7737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000451A | IN | Primary |
Addresses
Primary practice location
11406 Broadway
Crown Point, IN 46307-7106
Mailing address
11406 Broadway
Crown Point, IN 46307-7106
Phone (219) 663-7737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11406 Broadway
Crown Point, IN 46307
Phone (219) 663-7737
2604 W Lincoln Hwy
Merrillville, IN 46410
Phone (219) 663-7737
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Crown Point, IN
- NPI 1497806848
-
- Foot & Ankle Surgery Podiatrist
- Crown Point, IN
- NPI 1740334150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1871812248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077106",
"telephone_number": "219-663-7737",
"fax_number": "219-663-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077106",
"telephone_number": "219-663-7737",
"fax_number": "219-663-7733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY J. WAPIENNIK, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "WAPIENNIK",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-663-7737",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000451A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.