Organization Active NPI

Lawrence Hodor, DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, CA
National Provider Identifier
1942621222
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2949 Issued in CA
Legal business name
LAWRENCE HODOR, DPM, INC
Practice address
5220 Clark Ave
125
Lakewood, CA 90712-2623
Phone
(562) 804-1381
Fax
(562) 925-8898
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mr. Lawrence Hodor, DPMNPI 1235152794
Title
Owner / President
Phone
(562) 804-1381

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2949 CA Primary

Addresses

Primary practice location

5220 Clark Ave
125
Lakewood, CA 90712-2623

Mailing address

5220 Clark Ave
125
Lakewood, CA 90712-2623
Phone (562) 804-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140613000747 CA Part B Supplier - Clinic/Group Practice 7012131022 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood, CA
O20210315000563 CA DME Supplier - Physician - Podiatry 7012131022 Practice locations: Lakewood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1942621222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 CLARK AVE",
            "address_2": "125",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122623",
            "telephone_number": "562-804-1381",
            "fax_number": "562-925-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CLARK AVE",
            "address_2": "125",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122623",
            "telephone_number": "562-804-1381",
            "fax_number": "562-925-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE HODOR, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "HODOR",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "562-804-1381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.