Comfort Foot Care LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM0000000690 Issued in TN

Legal business name

COMFORT FOOT CARE LLC

Practice address

6116 Shallowford Rd
Ste 118
Chattanooga, TN 37421-7201

Phone

(423) 710-1224

Fax

(423) 710-1228

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mario S Dickens, DPMNPI 1902843154

Title

Owner

Phone

(423) 710-1224

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario S. Dickens, DPM

  • Podiatrist
  • Chattanooga, TN
  • NPI 1902843154
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1023252012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD",
            "address_2": "STE 118",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217201",
            "telephone_number": "423-710-1224",
            "fax_number": "423-710-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD",
            "address_2": "STE 118",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217201",
            "telephone_number": "423-710-1224",
            "fax_number": "423-710-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-710-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM0000000690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP2921",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514424",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Anne Colston, PHD, ATC
• Columbia Medical Group-Parkridge Inc.
• Andrew Glenn Combs, MD
• Jodie Renee Combs, NP-C
• Libby Combs, FNP-BC
• Comfort Medical Supply LLC
• Community Birth Group
• Community Birth Group
• Community Connections Counseling
• Community Integrated Healthcare

• Foot & Ankle Surgery Podiatrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.