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Area Wide Foot & Ankle Center, P.C.

Podiatric Clinic/Center in Bettendorf, IA · enumerated 2008 · authorized official Jim Licandro, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336327642

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Registry record

Entity type Organization (Type 2)
Legal business name Area Wide Foot & Ankle Center, P.C.
Practice address 1967 Spruce Hills Dr, Bettendorf, IA, 52722
Phone (563) 441-0117
Fax (563) 355-7396
Enumeration date Feb 8, 2008
Last updated in NPPES Mar 8, 2008

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 00705 (IA) Secondary
261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities · License 00705 (IA) Primary

Authorized official

Name Jim Licandro
Title Owner
Phone (563) 441-0117

Other identifiers

Identifier Type State Issuer
1197210 Medicaid IA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Area Wide Foot & Ankle Center, P.C.?
The NPI for Area Wide Foot & Ankle Center, P.C. is 1336327642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Area Wide Foot & Ankle Center, P.C.?
NPPES lists Jim Licandro (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-08.