Organization Active NPI

D Vang DPM Apmc

Doing business as Ambulatory Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • Covington, LA
National Provider Identifier
1902877566
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM200001 Issued in LA
Legal business name
D VANG DPM APMC
Doing business as
Ambulatory Foot Clinic
Practice address
1010 W 21St Ave
Covington, LA 70433
Phone
(985) 893-3524
Fax
(985) 893-9877
NPI assigned
Jan 31, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. David Vang, DPM
Title
Physician
Phone
(985) 893-3524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM200001 LA Primary

Addresses

Primary practice location

1010 W 21St Ave
Covington, LA 70433

Mailing address

1010 W 21St Ave
Covington, LA 70433
Phone (985) 893-3524

Other identifiers 3

IdentifierTypeStateIssuer
1479829MedicaidLA
1369683MedicaidLA
DE0253OtherLARAILROAD MEDICARE GROUP #

Other names 1

  • Ambulatory Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1010 W 21st Ave
Covington, LA 70433
Phone (985) 893-3524

601 W 21st Ave
Covington, LA 70433
Phone (985) 893-3524

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1902877566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-3524",
            "fax_number": "985-893-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-3524",
            "fax_number": "985-893-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D VANG DPM APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-893-3524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM200001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479829",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369683",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DE0253",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.