Organization Active NPI

Moses Cone Affiliated Physicians, Inc.

Doing business as The Triad Foot Center

  • Durable Medical Equipment & Medical Supplies
  • Burlington, NC
National Provider Identifier
1114233236
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOSES CONE AFFILIATED PHYSICIANS, INC.
Doing business as
The Triad Foot Center
Practice address
1680 Westbrook Ave
Burlington, NC 27215-9700
Phone
(336) 538-6885
Fax
(336) 538-6889
NPI assigned
Aug 26, 2010
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Mr. Kenneth K. Boggs
Title
Cfo
Phone
(336) 832-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1680 Westbrook Ave
Burlington, NC 27215-9700

Mailing address

2706 St Jude St
Greensboro, NC 27405-3670
Phone (336) 375-6990

Other identifiers 1

IdentifierTypeStateIssuer
5915180MedicaidNC

Other names 1

  • The Triad Foot Center Doing business as

National Provider Directory

National Provider Directory
Part of
Moses Cone Mem Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1680 Westbrook Ave
Burlington, NC 27215
Phone (336) 387-8100

1200 N Elm St
Ste 102
Greensboro, NC 27401

2706 Saint Jude St
Greensboro, NC 27405
Phone (336) 375-6990

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1114233236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 ST JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159700",
            "telephone_number": "336-538-6885",
            "fax_number": "336-538-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES CONE AFFILIATED PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2010-08-26",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-832-8005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Triad Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.