FOOT DOC LLC NPI 1740391499

NPI Information

  • NPI: 1740391499
  • Provider Name: FOOT DOC LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • CLIA Number: 15D2188758
  • Address: 2346 S LYNHURST DR
    SUITE 707
    INDIANAPOLIS, IN
    ZIP 46241
  • Phone: (317) 241-9565

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NPI Details

FOOT DOC LLC is a podiatrist in Indianapolis, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT DOC LLC NPI is 1740391499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2346 S LYNHURST DR
SUITE 707
INDIANAPOLIS, IN
ZIP 46241-621
Phone: (317) 241-9565
Fax: (317) 241-0100

The provider's authorized official is Damon Lamont Smith .
The authorized official title is President/ceo and has the following contact phone number (317) 241-9565.

The CLIA number assigned to this NPI record is 15D2188758 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist07000969AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U98948MEDICARE UPININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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