Trident Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

114 Issued in SC

Legal business name

TRIDENT PODIATRY, LLC

Practice address

9279 Medical Plaza Dr
Suite D
North Charleston, SC 29406-9141

Phone

(843) 553-2235

Fax

(843) 553-2275

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Emerson Martin, D.P.M.

Title

Doctor

Phone

(843) 553-2235

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1174785703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-553-2235",
            "fax_number": "843-553-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 MEDICAL PLAZA DR",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069141",
            "telephone_number": "843-553-2235",
            "fax_number": "843-553-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EMERSON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-553-2235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "114",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trident Area Agency on Aging
• Trident Medical Center LLC
• Trident Medical Center, LLC
• Trident Medical Center, LLC
• Trident Pain Center
• Trident Vision Center, Inc
• Laurie Trinh, PHARM.D
• Christina M Tripp, DO
• Perry E Trouche, M.D.
• Trucare Health Services, Inc.

• Foot & Ankle Surgery Podiatrist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.