Active NPI
Fairmont Foot Center
- Durable Medical Equipment & Medical Supplies
- Fairmont, WV
National Provider Identifier
1093984403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 248
- Legal business name
- FAIRMONT FOOT CENTER
- Practice address
- 314 Fairmont Ave
Fairmont, WV 26554-2713 - Phone
- (304) 367-1111
- Fax
- (304) 367-1128
- NPI assigned
- Feb 29, 2008
- 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. David Ferrero, D.P.M.
- Title
- Owner
- Phone
- (304) 367-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 248 | WV | Primary |
Addresses
Primary practice location
314 Fairmont Ave
Fairmont, WV 26554-2713
Mailing address
314 Fairmont Ave
Fairmont, WV 26554-2713
Phone (304) 367-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099603000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Fairmont Foot Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Fairmont, WV
- NPI 1427228840
Locations
314 Fairmont Ave
Fairmont, WV 26554
Phone (304) 367-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Chiropractor
- Fairmont, WV
- NPI 1124153572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345766400000",
"number": "1093984403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542713",
"telephone_number": "304-367-1111",
"fax_number": "304-367-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542713",
"telephone_number": "304-367-1111",
"fax_number": "304-367-1128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRMONT FOOT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-29",
"last_updated": "2012-08-24",
"status": "A",
"authorized_official_last_name": "FERRERO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-367-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WV",
"license": "248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099603000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.