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LASERWAVE PODIATRY
NPI 1285383877
Podiatrist in Mystic, CT

Active since March 21, 2022
12 ROOSEVELT AVE STE 203, MYSTIC, CT 06355(401) 363-3150 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laserwave Podiatry NPPES

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

LASERWAVE PODIATRY (NPI 1285383877) is a healthcare organization registered as a podiatrist in Mystic, Connecticut and active in the NPI registry since March 2022. The organization lists Michael Da Cicero, Owner And Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285383877
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLASERWAVE PODIATRY
Location Address12 ROOSEVELT AVE STE 203Mystic, CT 06355-2842
Mailing Address12 Roosevelt Ave Ste 203Mystic, CT 06355-2842 · (833) 527-3798
Phone(401) 363-3150
Organization SubpartNo
Authorized OfficialMichael Da CiceroOwner And Medical Director · (401) 363-3150
Enumeration DateMarch 21, 2022
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1285383877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
12 ROOSEVELT AVE STE 203, Mystic, CT 06355
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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

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

WISE MIND, LLC
Counselor (Mental Health)
12 ROOSEVELT AVE STE 203
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 249-0347

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 Laserwave Podiatry's NPI number?

The NPI number for Laserwave Podiatry is 1285383877. It was assigned to this organization in the NPPES registry on March 21, 2022.

Where is Laserwave Podiatry located?

Laserwave Podiatry is located at 12 Roosevelt Ave Ste 203, Mystic, CT 06355. The listed phone number is (401) 363-3150.

What is Laserwave Podiatry'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 Laserwave Podiatry was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.