Organization Active NPI

Podiatry Centers of Memphis PC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
National Provider Identifier
1245287002
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY CENTERS OF MEMPHIS PC
Practice address
995 S Yates Rd
Suite 2
Memphis, TN 38119-0882
Phone
(901) 763-0461
Fax
(901) 681-9820
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Brian N Kiel, DPM
Title
President
Phone
(901) 763-0461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

995 S Yates Rd
Suite 2
Memphis, TN 38119-0882

Mailing address

995 S Yates Rd
Suite 2
Memphis, TN 38119-0882
Phone (901) 763-0461

Other identifiers 3

IdentifierTypeStateIssuer
1316931272OtherNPI BRIAN N. KIEL
1386639789OtherNPI DAVID M. MOINESTER
CC4980OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1653 Poplar Ave
Memphis, TN 38104
Phone (901) 725-6680

995 S Yates Rd
Ste E
Memphis, TN 38119

3697 Riverdale Rd
Memphis, TN 38115
Phone (901) 368-3288

Practitioners & affiliated clinicians

Practitioners 4

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1245287002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "SUITE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-763-0461",
            "fax_number": "901-681-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "SUITE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-763-0461",
            "fax_number": "901-681-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CENTERS OF MEMPHIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "KIEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-763-0461",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  BRIAN N. KIEL",
            "identifier": "1316931272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DAVID M. MOINESTER",
            "identifier": "1386639789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC4980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.