Century Foot Care Specialists, P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

000729 Issued in GA

Legal business name

CENTURY FOOT CARE SPECIALISTS, P.C.

Practice address

625 Beaver Ruin Rd NW
Suite C
Lilburn, GA 30047-3467

Phone

(770) 935-4443

Fax

(770) 935-4475

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lissette E Tirado, DPM

Title

President

Phone

(770) 935-4443

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1164433272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BEAVER RUIN RD NW",
            "address_2": "SUITE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473467",
            "telephone_number": "770-935-4443",
            "fax_number": "770-935-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BEAVER RUIN RD NW",
            "address_2": "SUITE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473467",
            "telephone_number": "770-935-4443",
            "fax_number": "770-935-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY FOOT CARE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-935-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "000729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019971009A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Letoiya Marie Carter-Robinson, D.D.S.
• Natasha E Carter, RD,LD
• Center for Counseling, Rehabilitation, & Personal Evaluation
• Center for Counseling, Rehabilitation, and Personal Evaluation
• Center for Surgical Arts, Inc
• Deepa E Chacko
• Renee Kimberley Chambers
• Alyse Charles Jones
• Terry R. Chastain, L.P.C.
• Hsu-Yu Hunter Chen, DPT

• Foot Surgery Podiatrist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Foot Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.