Organization Active NPI

Carolina Foot Health Center, PA

  • Foot Surgery Podiatrist
  • Surfside Beach, SC
National Provider Identifier
1164696100
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
99-0141 Issued in NU
Legal business name
CAROLINA FOOT HEALTH CENTER, PA
Practice address
1103 Glenns Bay Rd
Surfside Beach, SC 29575-4722
Phone
(843) 238-8989
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Roy Walter Sprinkle, DPMNPI 1720037070
Title
Poditory
Phone
(843) 238-8989

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
Foot Surgery Podiatrist 213ES0131X 99-0141 NU Primary

Addresses

Primary practice location

1103 Glenns Bay Rd
Surfside Beach, SC 29575-4722

Mailing address

PO Box 15908
Surfside Beach, SC 29587-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100901000664 SC Part B Supplier - Clinic/Group Practice 3971627639 Receives reassigned benefits from 1 practitioner
Practice locations: Surfside Beach, SC

National Provider Directory

National Provider Directory

Locations

1103 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 228-8989

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1164696100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15908",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295875908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754722",
            "telephone_number": "843-238-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SPRINKLE",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PODITORY",
        "authorized_official_telephone_number": "843-238-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": "99-0141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.