NPI age
19 years
Enumerated 2006-07-01
● Active Type 2 · Organization
Liberty Dayton Foot & Ankle Center
Liberty Dayton Foot & Ankle Center is 1 of 957 podiatrist organizations in Texas.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
MacTavish
Physician Owner
Last NPPES update
2009-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 957 active podiatrist providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1825 Grand Ave
Liberty, TX 775754705
Mailing address
Po Box 1160
Liberty, TX 775751160
Authorized official
Lawrence S MacTavish, D.P.M.
Physician Owner
📞 9363362633
Specialties
-
Podiatrist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DG6815 | RR MEDICARE |
| 01 (TX) | 00J24P | BCBS |
| 05 (TX) | 121574103 | |
| 05 (TX) | 199497201 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LIBERTY DAYTON FOOT & ANKLE CENTER
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.