NPIMap

Organization Active NPI

East Alabama Podiatry, PC

  • Podiatric Clinic/Center
  • Opelika, AL
National Provider Identifier
1174026454
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
BL001588012018 Issued in AL
Legal business name
EAST ALABAMA PODIATRY, PC
Practice address
3320 Skyway Dr Ste 802
Opelika, AL 36801-7141
Phone
(404) 538-7019
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Ketan C Dalsania, DPM
Title
Owner
Phone
(404) 538-7019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X BL001588012018 AL Primary

Addresses

Primary practice location

3320 Skyway Dr Ste 802
Opelika, AL 36801-7141

Mailing address

PO Box 597
Clemmons, NC 27012-0597
Phone (336) 306-9755

National Provider Directory

National Provider Directory

Locations

3320 Skyway Dr
Ste 802
Opelika, AL 36801
Phone (334) 742-9102

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1174026454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270120597",
            "telephone_number": "336-306-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 802",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017141",
            "telephone_number": "404-538-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "DALSANIA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-538-7019",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AL",
            "license": "BL001588012018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.