OrganizationActive
Liberty Dayton Foot & Ankle Center
NPI 1689603805 · Podiatrist · Liberty, TX
Liberty Dayton Foot & Ankle Center is a Podiatrist organization in Liberty, TX (NPI 1689603805).
Provider details
- NPI number
- 1689603805
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Lawrence Mactavish, Physician Owner(936) 336-2633
- License
- 506 (TX)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1825 Grand Ave
Liberty, TX 77575-4705
Phone: (936) 336-2633
Fax: (936) 336-6031
Street-level locationGet directions
Mailing address
Po Box 1160
Liberty, TX 77575-1160
Other names (DBA / former)
- Doing business as
- Liberty Dayton Foot & Ankle Center
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2009-06-19
Frequently asked questions
- What is Liberty Dayton Foot & Ankle Center's NPI number?
- Liberty Dayton Foot & Ankle Center's National Provider Identifier (NPI) is 1689603805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Dayton Foot & Ankle Center?
- Liberty Dayton Foot & Ankle Center is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Liberty Dayton Foot & Ankle Center located?
- Liberty Dayton Foot & Ankle Center's practice location on file with NPPES is 1825 Grand Ave, Liberty, TX 77575-4705.
- What is Liberty Dayton Foot & Ankle Center's phone number?
- The practice phone number listed in the NPPES registry for Liberty Dayton Foot & Ankle Center is (936) 336-2633.
- Who is the authorized official for Liberty Dayton Foot & Ankle Center?
- The authorized official listed on Liberty Dayton Foot & Ankle Center's NPPES record is Lawrence Mactavish, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Dayton Foot & Ankle Center's NPI active?
- Yes — Liberty Dayton Foot & Ankle Center's NPI (1689603805) is active in the NPPES registry as of the last update on 2009-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.