Organization Active NPI

Richard R. Recko D.P.M., PA

  • Foot & Ankle Surgery Podiatrist
  • Wilmington, NC
National Provider Identifier
1003097395
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
213 Issued in NC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard R. Recko, DPMNPI 1356365761
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7908139MedicaidNC
DD0367OtherNCRAILROAD MEDICARE
08139OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.