Active NPI
Richard R. Recko D.P.M., PA
- Foot & Ankle Surgery Podiatrist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 213
- Legal business name
- RICHARD R. RECKO D.P.M., PA
- Practice address
- 1776 Wellington Ave
Suite 1
Wilmington, NC 28403-6075 - Phone
- (910) 762-2404
- Fax
- (910) 762-4249
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard R. Recko, DPM
- Title
- Ceo
- Phone
- (910) 762-2404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 213 | NC | Primary |
Addresses
Primary practice location
1776 Wellington Ave
Suite 1
Wilmington, NC 28403-6075
Mailing address
1776 Wellington Ave
Suite 1
Wilmington, NC 28403-6075
Phone (910) 762-2404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7908139 | Medicaid | NC | |
| DD0367 | Other | NC | RAILROAD MEDICARE |
| 08139 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
1776 Wellington Ave
#1
Wilmington, NC 28403
Phone (910) 762-2404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Wilmington, NC
- NPI 1356365761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1003097395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 WELLINGTON AVE",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036075",
"telephone_number": "910-762-2404",
"fax_number": "910-762-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 WELLINGTON AVE",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036075",
"telephone_number": "910-762-2404",
"fax_number": "910-762-4249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD R. RECKO D.P.M., PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "RECKO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-762-2404",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908139",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD0367",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08139",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.