Sole Care LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0407 Issued in AZ

Legal business name

SOLE CARE LLC

Practice address

5660 W Potter Dr
Glendale, AZ 85308-9164

Phone

(602) 390-5608

Fax

(623) 933-5787

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By 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

Wayne A Moyer, DPM

Title

Owner/President

Phone

(602) 390-5607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1154602399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 W POTTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089164",
            "telephone_number": "602-390-5608",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 W POTTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089164",
            "telephone_number": "602-390-5608",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-390-5607",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.