Active NPI
MSP Boone Clinic, PLLC
- Primary Podiatric Medicine Podiatrist
- Jefferson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- MSP BOONE CLINIC, PLLC
- Practice address
- 200 Hospital Ave FL 3
Jefferson, NC 28640-9244 - Phone
- (828) 265-9662
- Fax
- (828) 252-2272
- NPI assigned
- Nov 21, 2023
- 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
- Jonathan D Tenley, DPM
- Title
- Authorized Official
- Phone
- (828) 265-3668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
200 Hospital Ave FL 3
Jefferson, NC 28640-9244
Mailing address
610 State Farm Rd Ste C
Boone, NC 28607-4713
Phone (828) 265-3668
National Provider Directory
National Provider Directory- Tax ID family
- MSP Boone Clinic PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Boone, NC
- NPI 1760109862
Locations
200 Hospital Ave
Fl 3
Jefferson, NC 28640
Phone (828) 264-4545
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Morganton, NC
- NPI 1154881506
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Asheville, NC
- NPI 1790852895
Primary Podiatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1013782804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 STATE FARM RD STE C",
"city": "BOONE",
"state": "NC",
"postal_code": "286074713",
"telephone_number": "828-265-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE FL 3",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "828-265-9662",
"fax_number": "828-252-2272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSP BOONE CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "TENLEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "828-265-3668",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.