NPIMap

Organization Active NPI

Pedicure, LLC

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, AL
National Provider Identifier
1023045325
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEDICURE, LLC
Practice address
250 Trace Ridge Rd
Birmingham, AL 35244-3924
Phone
(205) 276-3030
Fax
(205) 982-7931
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Robert Thompson
Title
Sole Member/Owner
Phone
(205) 276-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

250 Trace Ridge Rd
Birmingham, AL 35244-3924

Mailing address

250 Trace Ridge Rd
Birmingham, AL 35244-3924
Phone (205) 276-3030

Other identifiers 1

IdentifierTypeStateIssuer
51518919OtherALBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1023045325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TRACE RIDGE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443924",
            "telephone_number": "205-276-3030",
            "fax_number": "205-982-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TRACE RIDGE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443924",
            "telephone_number": "205-276-3030",
            "fax_number": "205-982-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDICURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "205-276-3030"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51518919",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.