Active NPI
New England Podiatry Group Inc
- Foot & Ankle Surgery Podiatrist
- Taunton, MA
National Provider Identifier
1134522204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MA2302
- Legal business name
- NEW ENGLAND PODIATRY GROUP INC
- Practice address
- 87 Washington St
Taunton, MA 02780-2429 - Phone
- (508) 822-3405
- Fax
- (508) 823-3874
- NPI assigned
- Oct 3, 2014
- 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. Kwende Smith, D.P.M.
- Title
- President
- Phone
- (508) 822-3405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MA2302 | MA | Primary |
Addresses
Primary practice location
87 Washington St
Taunton, MA 02780-2429
Mailing address
87 Washington St
Taunton, MA 02780-2429
Phone (508) 822-3405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110025318A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- North Chelmsford, MA
- NPI 1205875341
-
- Foot Surgery Podiatrist
- Worcester, MA
- NPI 1104804640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483920000000",
"number": "1134522204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027802429",
"telephone_number": "508-822-3405",
"fax_number": "508-823-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027802429",
"telephone_number": "508-822-3405",
"fax_number": "508-823-3874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND PODIATRY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-03",
"last_updated": "2017-01-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KWENDE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-822-3405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "MA2302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110025318A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.