Organization Active NPI

Louisiana Foot and Ankle Specialty Center, LLC

  • Podiatrist
  • Slaughter, LA
National Provider Identifier
1902671076
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LOUISIANA FOOT AND ANKLE SPECIALTY CENTER, LLC
Practice address
1169 Highway 19 Ste B
Slaughter, LA 70777-3404
Phone
(504) 615-1656
Fax
(225) 659-8031
NPI assigned
Nov 20, 2023
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Kyle Daniel Lindow, DPMNPI 1780049494
Title
Member
Phone
(504) 615-1656

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

1169 Highway 19 Ste B
Slaughter, LA 70777-3404

Mailing address

1239 Patriot Xing
Zachary, LA 70791-7835
Phone (225) 513-7155

Other practice location 1

37292 Market Place Dr Ste B
Prairieville, LA 70769-3487
Phone (225) 513-7155

Other practice location 2

19850 Old Scenic Hwy Ste 300
Zachary, LA 70791-7384
Phone (225) 513-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231229000860 LA Part B Supplier - Clinic/Group Practice 4789034919 Receives reassigned benefits from 2 practitioners
Practice locations: Slaughter, LA
O20240809002617 LA DME Supplier - Physician - Podiatry 4789034919 Practice locations: Zachary, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1902671076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 PATRIOT XING",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917835",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 HIGHWAY 19 STE B",
            "city": "SLAUGHTER",
            "state": "LA",
            "postal_code": "707773404",
            "telephone_number": "504-615-1656",
            "fax_number": "225-659-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37292 Market Place Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707693487",
            "country_code": "US",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19850 Old Scenic Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707917384",
            "country_code": "US",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA FOOT AND ANKLE SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "LINDOW",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-615-1656",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slaughter, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.