OrganizationActive
Premier Podiatry
NPI 1720445281 · Podiatrist · Long Grove, IA
Premier Podiatry is a Podiatrist organization in Long Grove, IA (NPI 1720445281).
Provider details
- NPI number
- 1720445281
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- James Licandro, Owner/Physician(563) 340-4387
- License
- 0705 (IA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(72/100 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
405 Woodlawn Rd
Long Grove, IA 52756-8745
Phone: (832) 425-7457
Fax: (563) 424-7234
Street-level locationGet directions
Mailing address
Po Box 2671
Davenport, IA 52809-2671
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2022-07-21
Frequently asked questions
- What is Premier Podiatry's NPI number?
- Premier Podiatry's National Provider Identifier (NPI) is 1720445281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Podiatry?
- Premier Podiatry is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Premier Podiatry located?
- Premier Podiatry's practice location on file with NPPES is 405 Woodlawn Rd, Long Grove, IA 52756-8745.
- What is Premier Podiatry's phone number?
- The practice phone number listed in the NPPES registry for Premier Podiatry is (832) 425-7457.
- Who is the authorized official for Premier Podiatry?
- The authorized official listed on Premier Podiatry's NPPES record is James Licandro, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Podiatry's NPI active?
- Yes — Premier Podiatry's NPI (1720445281) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.