Organization Active NPI

Robert & Dawn Lagone DPM PC

  • Podiatrist
  • Muscatine, IA
National Provider Identifier
1942265822
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ROBERT & DAWN LAGONE DPM PC
Practice address
2220 Park Ave
Muscatine, IA 52761-5442
Phone
(563) 263-0000
Fax
(563) 263-5113
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Teletha J Maxson
Title
Internet Security / Billing
Phone
(563) 263-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2220 Park Ave
Muscatine, IA 52761-5442

Mailing address

2220 Park Ave
Muscatine, IA 52761-5442
Phone (563) 263-0000

Other identifiers 2

IdentifierTypeStateIssuer
CN8848OtherIARAILROAD MEDICARE
0444695MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330000686 IA Part B Supplier - Clinic/Group Practice 0244222560 Receives reassigned benefits from 2 practitioners
Practice locations: Wilton, IA; Muscatine, IA; Lone Tree, IA; Columbus JCT, IA; Bettendorf, IA
O20100930089061 IA DME Supplier - Physician - Podiatry 0244222560 Practice locations: Muscatine, IA

National Provider Directory

National Provider Directory
Tax ID family
Robert Dawn Lagone DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1020 Spruce Hills Dr
Bettendorf, IA 52722
Phone (319) 359-3000

815 E Locust St
Davenport, IA 52803
Phone (563) 324-3276

2220 Park Ave
Muscatine, IA 52761
Phone (319) 323-7000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1942265822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 PARK AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615442",
            "telephone_number": "563-263-0000",
            "fax_number": "563-263-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 PARK AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615442",
            "telephone_number": "563-263-0000",
            "fax_number": "563-263-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT & DAWN LAGONE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MAXSON",
        "authorized_official_first_name": "TELETHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INTERNET SECURITY / BILLING",
        "authorized_official_telephone_number": "563-263-0000"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN8848",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444695",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.