Carolina Foot Care LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CAROLINA FOOT CARE LLC

Practice address

1399 John B White Sr Blvd
Spartanburg, SC 29306-3911

Phone

(864) 595-9300

Fax

(864) 595-9400

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Jordan, DPMNPI 1295724839

Title

Podiatrist

Phone

(864) 595-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Jordan, DPM

  • Primary Podiatric Medicine Podiatrist
  • Spartanburg, SC
  • NPI 1295724839
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah M Jordan, DPM

  • Primary Podiatric Medicine Podiatrist
  • Spartanburg, SC
  • NPI 1285623827
  Medicare reassignment Care Compare group NPD
• Kyle Lawton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spartanburg, SC
  • NPI 1548945405
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1104028810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 JOHN B WHITE SR BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 JOHN B WHITE SR BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063911",
            "telephone_number": "864-595-9300",
            "fax_number": "864-595-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "864-595-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Dialysis, LLC
• Carolina Family Acupuncture LLC
• Carolina First Transportation Ambulance of South Carolina
• Carolina Health & Spine, LLC
• Carolina Homecare Medical Equipment Ctr
• Carolina Neurology of Spartanburg
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthopaedic and Neurosurgical Associates

• Podiatrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.