Active NPI
Foot Centers of NC, PA
- Foot & Ankle Surgery Podiatrist
- Greensboro, NC
National Provider Identifier
1083854517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 409
- Legal business name
- FOOT CENTERS OF NC, PA
- Practice address
- 5921 W Friendly Ave Ste D
Greensboro, NC 27410-3268 - Phone
- (336) 218-8490
- Fax
- (336) 768-3078
- NPI assigned
- Feb 24, 2009
- 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
- Karen Deborah De Jesus
- Title
- Management
- Phone
- (760) 200-8588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 409 | NC | Primary |
Addresses
Primary practice location
5921 W Friendly Ave Ste D
Greensboro, NC 27410-3268
Mailing address
76764 Lancelot CT
Palm Desert, CA 92211-7103
Phone (760) 200-8588
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Winston Salem, NC
- NPI 1164530200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550534400000",
"number": "1083854517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76764 LANCELOT CT",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922117103",
"telephone_number": "760-200-8588",
"fax_number": "760-345-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5921 W FRIENDLY AVE STE D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274103268",
"telephone_number": "336-218-8490",
"fax_number": "336-768-3078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT CENTERS OF NC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-24",
"last_updated": "2019-02-19",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "DEBORAH",
"authorized_official_title_or_position": "MANAGEMENT",
"authorized_official_telephone_number": "760-200-8588"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.