Organization Active NPI

Your Hometown Foot Care Inc

Doing business as Portsmouth Foot Care

  • Podiatrist
  • Portsmouth, OH
National Provider Identifier
1164475539
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
YOUR HOMETOWN FOOT CARE INC
Doing business as
Portsmouth Foot Care
Practice address
820 Chillicothe St
Portsmouth, OH 45662-4028
Phone
(740) 353-6911
Fax
(740) 353-2950
NPI assigned
May 18, 2006
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Dr. David Charles Greiner, DPMNPI 1669475786
Title
DPM Owner
Phone
(740) 353-6911

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

820 Chillicothe St
Portsmouth, OH 45662-4028

Mailing address

820 Chillicothe St
Portsmouth, OH 45662-4028
Phone (740) 353-6911

Other identifiers 1

IdentifierTypeStateIssuer
2054351MedicaidOH

Other names 1

  • PORTSMOUTH FOOT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050912001313 OH Part B Supplier - Clinic/Group Practice 0749213676 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, OH
O20100930097349 OH DME Supplier - Physician - Podiatry 0749213676 Practice locations: Portsmouth, OH

National Provider Directory

National Provider Directory

Locations

802 Washington St
Portsmouth, OH 45662
Phone (614) 353-6911

820 Chillicothe St
Portsmouth, OH 45662
Phone (614) 353-6911

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1164475539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CHILLICOTHE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624028",
            "telephone_number": "740-353-6911",
            "fax_number": "740-353-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CHILLICOTHE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624028",
            "telephone_number": "740-353-6911",
            "fax_number": "740-353-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOMETOWN FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "GREINER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DPM OWNER",
        "authorized_official_telephone_number": "740-353-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTSMOUTH FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PORTSMOUTH FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.