Active NPI
Unifour Podiatry, PLLC
- Podiatrist
- Hickory, NC
National Provider Identifier
1174751960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 430
- Legal business name
- UNIFOUR PODIATRY, PLLC
- Practice address
- 912 2ND St NE
Hickory, NC 28601-3851 - Phone
- (828) 267-1916
- Fax
- (828) 267-1922
- NPI assigned
- Jun 30, 2009
- Last updated
- Jun 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Henry Grogan III, DPM
- Title
- Owner
- Phone
- (828) 267-1916
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 430 | NC | Primary |
Addresses
Primary practice location
912 2ND St NE
Hickory, NC 28601-3851
Mailing address
912 2ND St NE
Hickory, NC 28601-3851
Phone (828) 267-1916
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030547002 | Other | NC | CIGNA |
| 26-42566 | Other | NC | UHC |
| 0804E | Other | NC | BC BS |
| 890804E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Hickory, NC
- NPI 1326006727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1174751960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 2ND ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013851",
"telephone_number": "828-267-1916",
"fax_number": "828-267-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 2ND ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013851",
"telephone_number": "828-267-1916",
"fax_number": "828-267-1922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIFOUR PODIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "GROGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-267-1916",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2030547002",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "26-42566",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "0804E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890804E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.