Organization Active NPI

Carolina Family Podiatry,LLC

  • Podiatrist
  • Columbia, SC
National Provider Identifier
1033438908
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
574 Issued in SC
Legal business name
CAROLINA FAMILY PODIATRY,LLC
Practice address
131 Wildewood Park Dr
Columbia, SC 29223-4300
Phone
(803) 462-7040
Fax
(803) 462-7047
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Michael Eugene Munson, DPM
Title
Podiatrist
Phone
(803) 609-1126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 574 SC Primary

Addresses

Primary practice location

131 Wildewood Park Dr
Columbia, SC 29223-4300

Mailing address

131 Wildewood Park Dr
Columbia, SC 29223-4300
Phone (803) 462-7040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1033438908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WILDEWOOD PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234300",
            "telephone_number": "803-462-7040",
            "fax_number": "803-462-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WILDEWOOD PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234300",
            "telephone_number": "803-462-7040",
            "fax_number": "803-462-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY PODIATRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "803-609-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.