Organization Active NPI

Total Foot Care, LLC

  • Podiatrist
  • Columbia, SC
National Provider Identifier
1316185010
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
581 Issued in SC
Legal business name
TOTAL FOOT CARE, LLC
Practice address
104 Traditions Cir
Columbia, SC 29229-8050
Phone
(888) 548-2388
Fax
(800) 230-8028
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Keshia Elaine Oliver, D.P.M.
Title
Podiatrist
Phone
(917) 445-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 581 SC Primary

Addresses

Primary practice location

104 Traditions Cir
Columbia, SC 29229-8050

Mailing address

104 Traditions Cir
Columbia, SC 29229-8050
Phone (888) 548-2388

Other identifiers 1

IdentifierTypeStateIssuer
GP9904MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000432 SC Part B Supplier - Clinic/Group Practice 2365509221 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

4100 N Main St
Ste 204
Columbia, SC 29203
Phone (803) 401-5356

1195 Saint Matthews Rd
Orangeburg, SC 29115
Phone (803) 614-4131

Practitioners & affiliated clinicians

Practitioners 1

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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1316185010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TRADITIONS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298050",
            "telephone_number": "888-548-2388",
            "fax_number": "800-230-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TRADITIONS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298050",
            "telephone_number": "888-548-2388",
            "fax_number": "800-230-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "KESHIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "917-445-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9904",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.