Dpmmoffettnrnc LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

139 Issued in NC

Legal business name

DPMMOFFETTNRNC LLC

Practice address

1000 College St
Wilkesboro, NC 28697-2732

Phone

(704) 438-1821

NPI assigned

May 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colin Moffett, DPMNPI 1568411007

Title

Owner

Phone

(704) 438-1821

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colin Lee Moffett, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Gastonia, NC
  • NPI 1568411007
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144275124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 SPRUCEWOOD ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018117",
            "telephone_number": "704-438-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972732",
            "telephone_number": "704-438-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMMOFFETTNRNC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-438-1821",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daymark Recovery Services Inc
• Dominique Natural Health Inc. (Holistic Medical Clinic of the Carolinas)
• Whitney Cohn Dominique, D.C.
• Vanessa Marie Doran, LPCA
• Double D Enterprises of Wilkes Inc (Wilkes Family Pharmacy)
• Dr. Michael Vollmer
• Dr. Michael Vollmer O.D.,F.a.a.O
• Brenda Dula, MA, CCC-SLP
• Lynn Durchman, LPC
• Ashley Dyer

• Podiatrist in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.