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NPI profile

FAMILY FOOT AND ANKLE CARE

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundexcludedNPI API source

Identity

NPI
1053351882
Entity type
NPI-2
Primary taxonomy
213E00000X
NPI source updated
Aug 22, 2020
Enumeration date
Jun 08, 2006
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

excludedConfidence: high

Exact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING3142898777
LOCATION3142898777

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.