Active NPI
Salem Foot Care, P.a.
- Podiatrist
- Wilkesboro, NC
National Provider Identifier
1073614384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 263
- Legal business name
- SALEM FOOT CARE, P.A.
- Practice address
- 1505 River St
Wilkesboro, NC 28697-7391 - Phone
- (336) 667-2016
- Fax
- (336) 667-3247
- NPI assigned
- Sep 26, 2006
- Last updated
- Feb 17, 2014
- 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
- Dr. Walter J Falardeau III, DPM
- Title
- Owner
- Phone
- (336) 667-2016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 263 | NC | Primary |
Addresses
Primary practice location
1505 River St
Wilkesboro, NC 28697-7391
Mailing address
PO Box 87
Wilkesboro, NC 28697-0087
Phone (336) 766-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908160 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1505 River St
Wilkesboro, NC 28697
Phone (336) 667-2015
301 Miller St
#101
Winston Salem, NC 27103
Phone (336) 725-1317
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.
-
- Podiatrist
- Greensboro, NC
- NPI 1225146343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1073614384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286970087",
"telephone_number": "336-766-8985",
"fax_number": "336-766-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 RIVER ST",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286977391",
"telephone_number": "336-667-2016",
"fax_number": "336-667-3247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEM FOOT CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "FALARDEAU",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-667-2016",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908160",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.