DR. DALE FAZIO FOOT CLINIC
NPI 1265692859
Podiatrist in Shreveport, LA

Active since June 17, 2008
1914 E 70TH ST, SUITE D, SHREVEPORT, LA 71105(318) 797-3470(318) 797-9956 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dale Fazio Foot Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE FAZIO FOOT CLINIC (NPI 1265692859) is a healthcare organization registered as a podiatrist in Shreveport, Louisiana and active in the NPI registry since June 2008. The organization lists Dale C Fazio, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1265692859
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR. DALE FAZIO FOOT CLINIC
Location Address1914 E 70TH ST, SUITE DShreveport, LA 71105-5312
Mailing Address1914 E 70th St, Suite DShreveport, LA 71105-5312 · (318) 797-3470 · Fax (318) 797-9956
Fax(318) 797-9956
Organization SubpartNo
Authorized OfficialDale C FazioMd/owner · (318) 797-3470
Enumeration DateJune 17, 2008
NPI 1265692859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in LA · PD009
Definition

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.

1914 E 70TH ST, Shreveport, LA 71105

Other Identifiers 2

Medicaid1318451LA
Medicare UPINT19719LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1914 E 70TH ST
SHREVEPORT, LA 71105
Podiatrist
1914 E 70TH ST, SUITE D
SHREVEPORT, LA 71105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Dale Fazio Foot Clinic's NPI number?

The NPI number for Dr. Dale Fazio Foot Clinic is 1265692859. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is Dr. Dale Fazio Foot Clinic located?

Dr. Dale Fazio Foot Clinic is located at 1914 E 70th St Suite D, Shreveport, LA 71105. The listed phone number is (318) 797-3470.

What is Dr. Dale Fazio Foot Clinic's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Dr. Dale Fazio Foot Clinic was last updated on June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.