Organization Active NPI

Greenwich Podiatry Group LLC

  • Podiatrist
  • East Greenwich, RI
National Provider Identifier
1285990986
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM00320 Issued in RI
Legal business name
GREENWICH PODIATRY GROUP LLC
Practice address
694 Main St
East Greenwich, RI 02818-3540
Phone
(401) 884-2821
Fax
(401) 884-4350
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. David John Golden, DPMNPI 1801991435
Title
Owner
Phone
(401) 884-2821

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X DPM00320 RI Primary

Addresses

Primary practice location

694 Main St
East Greenwich, RI 02818-3540

Mailing address

694 Main St
East Greenwich, RI 02818-3540
Phone (401) 884-2821

Other names 1

  • Greenwich Podiatry Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120626000611 RI Part B Supplier - Clinic/Group Practice 7517122484 Receives reassigned benefits from 3 practitioners
Practice locations: East Greenwich, RI
O20130213000051 RI DME Supplier - Physician - General Practice 7517122484 Practice locations: East Greenwich, RI

National Provider Directory

National Provider Directory

Locations

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9443/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1285990986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183540",
            "telephone_number": "401-884-2821",
            "fax_number": "401-884-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183540",
            "telephone_number": "401-884-2821",
            "fax_number": "401-884-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH PODIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-884-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM00320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwich Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.

Verify at the official NPI Registry.