Central Indiana Podiatry, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CENTRAL INDIANA PODIATRY, PC

Practice address

1720 Lafayette Road
Suite 3
Crawfordsville, IN 47362-4604

Phone

(765) 362-6233

Fax

(765) 362-8270

NPI assigned

Jan 15, 2013

Organization subpart

Yes

Parent organization

CENTRAL INDIANA PODIATRY, PCAs reported in NPPES

Name

Barbara Huntsman

Title

Credentialing Specialist

Phone

(317) 931-0664

Part of

Central Indiana Podiatry PC

• Achilles Podiatry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2013.

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1922345669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 GUION ROAD",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227604",
            "telephone_number": "317-931-0664",
            "fax_number": "317-927-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LAFAYETTE ROAD",
            "address_2": "SUITE 3",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "473624604",
            "telephone_number": "765-362-6233",
            "fax_number": "765-362-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA PODIATRY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL INDIANA PODIATRY, PC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "317-931-0664"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CK6005",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achilles Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Crawfordsville, IN
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.