NPIMap

Organization Active NPI

Foot Faults PC

  • Podiatrist
  • Goldsboro, NC
National Provider Identifier
1205002458
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
221 Issued in NC
Legal business name
FOOT FAULTS PC
Practice address
110 S Pineview Ave
Goldsboro, NC 27530-5138
Phone
(919) 734-8007
NPI assigned
May 7, 2008
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Jenny L Hall, DPMNPI 1528141850
Title
Owner
Phone
(919) 734-8007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 221 NC Primary

Addresses

Primary practice location

110 S Pineview Ave
Goldsboro, NC 27530-5138

Mailing address

PO Box 7756
Rocky Mount, NC 27804-0756

Other identifiers 1

IdentifierTypeStateIssuer
5950076MedicaidNC

National Provider Directory

National Provider Directory

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1205002458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7756",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PINEVIEW AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305138",
            "telephone_number": "919-734-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT FAULTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-734-8007",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950076",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.