Organization Active NPI

Total Footcare, P. C .

  • Durable Medical Equipment & Medical Supplies
  • Glen Allen, VA
National Provider Identifier
1144408543
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0103300817 Issued in VA
Legal business name
TOTAL FOOTCARE, P. C .
Practice address
5230 Hickory Park Dr
Suite D
Glen Allen, VA 23059-2628
Phone
(804) 934-0661
Fax
(804) 934-0663
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Kristin Kaye Gingrich, DPMNPI 1164489837
Title
President
Phone
(804) 934-0661

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0103300817 VA Primary

Addresses

Primary practice location

5230 Hickory Park Dr
Suite D
Glen Allen, VA 23059-2628

Mailing address

5230 Hickory Park Dr
Suite D
Glen Allen, VA 23059-2628
Phone (804) 934-0661

Other identifiers 4

IdentifierTypeStateIssuer
286847OtherVAMAMSI
140045OtherVAANTHEM/BCBS
130184OtherVASOUTHERN HEALTH
34510OtherVASENTARA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100308000741 VA Part B Supplier - Clinic/Group Practice 4284779729 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Allen, VA
O20100930053894 VA DME Supplier - Physician - Podiatry 4284779729 Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Locations

5230 Hickory Park Dr
Ste D
Glen Allen, VA 23059
Phone (804) 934-0661

3307 Church Rd
Ste 107
Richmond, VA 23233
Phone (804) 934-0661

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1144408543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 HICKORY PARK DR",
            "address_2": "SUITE D",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592628",
            "telephone_number": "804-934-0661",
            "fax_number": "804-934-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 HICKORY PARK DR",
            "address_2": "SUITE D",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592628",
            "telephone_number": "804-934-0661",
            "fax_number": "804-934-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FOOTCARE, P. C .",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-934-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0103300817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "286847",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "140045",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "130184",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "34510",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.