Organization Active NPI

Jfootdoc & Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Cary, NC
National Provider Identifier
1104097575
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
223 Issued in NC
Legal business name
JFOOTDOC & ASSOCIATES PLLC
Practice address
210 Lewiston CT
Cary, NC 27513-6025
Phone
(919) 815-5030
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Judith K Hodgins, DPM
Title
Owner
Phone
(919) 815-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 223 NC Primary

Addresses

Primary practice location

210 Lewiston CT
Cary, NC 27513-6025

Mailing address

210 Lewiston CT
Cary, NC 27513-6025
Phone (919) 815-5030

Other identifiers 2

IdentifierTypeStateIssuer
5909141MedicaidNC
08010OtherNCBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1104097575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LEWISTON CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275136025",
            "telephone_number": "919-815-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LEWISTON CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275136025",
            "telephone_number": "919-815-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFOOTDOC & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "HODGINS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-815-5030",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909141",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.