Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri Lakes Podiatry PC

Organization Podiatrist · NPI 1275758351

Tri Lakes Podiatry PC is a Podiatrist in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

105 S Ridgecrest Ave
Nixa, MO 65714-7807
Phone: (417) 724-3100
Fax: (417) 725-2985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 2000165040 (MO)

Record details

NPI number1275758351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Korte — Owner Doctor · (417) 725-9995
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 870, 300 West Mt Vernon Suite G, Nixa, MO 65714-0870