OrganizationActive
Laser Podiatry
NPI 1124498233 · Foot & Ankle Surgery Podiatrist · Germantown, MD
Provider details
- NPI number
- 1124498233
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Mullendore, Owner(301) 515-1494
- License
- 01423 (MD)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19527 Doctors Dr
Germantown, MD 20874-5262
Phone: (301) 515-1494
Street-level locationGet directions
Mailing address
19527 Doctors Dr
Germantown, MD 20874-5262
Registry dates
- Enumerated
- 2015-10-01
- Last updated
- 2015-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.