Organization Active NPI

Sprinkle Foot & Ankle Center PA

  • Podiatrist
  • Winston Salem, NC
National Provider Identifier
1316993033
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
215 Issued in NC
Legal business name
SPRINKLE FOOT & ANKLE CENTER PA
Practice address
751 Bethesda Road
Sprinkle Foot and Ankle Center PA Ste 102
Winston-Salem, NC 27103
Phone
(336) 765-8637
Fax
(336) 765-7868
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Robert Sprinkle
Title
Owner Ceo
Phone
(336) 765-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 215 NC Primary

Addresses

Primary practice location

751 Bethesda Road
Sprinkle Foot and Ankle Center PA Ste 102
Winston-Salem, NC 27103

Mailing address

751 Bethesda Road
Sprinkle Foot and Ankle Center PA Ste 102
Winston-Salem, NC 27103
Phone (336) 765-8637

Other identifiers 1

IdentifierTypeStateIssuer
7908163MedicaidNC

National Provider Directory

National Provider Directory

Locations

751 Bethesda Rd
Ste 102
Winston Salem, NC 27103
Phone (336) 765-8637

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1316993033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BETHESDA ROAD",
            "address_2": "SPRINKLE FOOT AND ANKLE CENTER PA STE 102",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-8637",
            "fax_number": "336-765-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BETHESDA ROAD",
            "address_2": "SPRINKLE FOOT AND ANKLE CENTER PA STE 102",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-8637",
            "fax_number": "336-765-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINKLE FOOT & ANKLE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "SPRINKLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "336-765-8637"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.