Active NPI
Instride Foot and Ankle Specialists, PLLC
- Primary Podiatric Medicine Podiatrist
- Wilmington, NC
National Provider Identifier
1295266641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 606
- Legal business name
- INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
- Practice address
- 4113 Oleander Dr
Suite G
Wilmington, NC 28403-6839 - Phone
- (910) 791-1300
- NPI assigned
- Mar 27, 2017
- Last updated
- Jun 3, 2022
- 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
- Kevin Charles McDonald
- Title
- President
- Phone
- (704) 786-4482
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 606 | NC | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 606 | NC |
Addresses
Primary practice location
4113 Oleander Dr
Suite G
Wilmington, NC 28403-6839
Mailing address
1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 886-1918
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.
-
- Primary Podiatric Medicine Podiatrist
- Concord, NC
- NPI 1992810717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1295266641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 LEE ANN DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252911",
"telephone_number": "704-886-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 OLEANDER DR",
"address_2": "SUITE G",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036839",
"telephone_number": "910-791-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-27",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-786-4482"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "606",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NC",
"license": "606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Insight Family Health Center, PLLC
- Insight Wellness Services PC
- Insightful Minds, Inc.
- Inspire Creative Counseling and Consultation PLLC
- Inspire Therapy and Wellness, LLC
- Instride Foot and Ankle Specialists, PLLC
- Integrated Family Services, PLLC
- Integrated Pain Solutions PLLC
- Integrity Home Care LLC
- Intellichoice Staffing LLC (IntelliChoice Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.