Organization Active NPI

Salem Foot Care, P.a.

  • Podiatrist
  • Wilkesboro, NC
National Provider Identifier
1073614384
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
263 Issued in NC
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8908160MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.