Organization Active NPI

Craig S. Tenzer, M.D., D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Charlestown, MA
National Provider Identifier
1336325612
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PD 1980 Issued in MA
Legal business name
CRAIG S. TENZER, M.D., D.P.M., P.C.
Practice address
175 Main St
Charlestown, MA 02129-3225
Phone
(617) 242-3344
Fax
(781) 388-7086
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Craig Stewart Tenzer, MD, DPM
Title
Owner
Phone
(617) 242-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PD 1980 MA Primary

Addresses

Primary practice location

175 Main St
Charlestown, MA 02129-3225

Mailing address

175 Main St
Charlestown, MA 02129-3225
Phone (617) 242-3344

Other names 1

  • FootMed Doing business as

National Provider Directory

National Provider Directory

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1336325612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293225",
            "telephone_number": "617-242-3344",
            "fax_number": "781-388-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293225",
            "telephone_number": "617-242-3344",
            "fax_number": "781-388-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG S. TENZER, M.D., D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "TENZER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-242-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "PD 1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FootMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.