Organization Active NPI

Carolina Foot Specialists

  • Podiatrist
  • Clayton, NC
National Provider Identifier
1346224185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CAROLINA FOOT SPECIALISTS
Practice address
555 Medicale Park Way
Ste 205
Clayton, NC 27520
Phone
(919) 550-0000
Fax
(919) 570-7513
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Cory Tobin, DPM
Title
DPM
Phone
(919) 846-1111

Specialties & licenses 1

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

Addresses

Primary practice location

555 Medicale Park Way
Ste 205
Clayton, NC 27520

Mailing address

555 Medicale Park Way
Ste 205
Clayton, NC 27520
Phone (919) 550-0000

Other identifiers 1

IdentifierTypeStateIssuer
01394OtherBCBS

National Provider Directory

National Provider Directory

Locations

1505 SW Cary Pkwy
Ste 200
Cary, NC 27511
Phone (919) 303-6890

8305 Falls of Neuse Rd
Ste 100
Raleigh, NC 27615
Phone (919) 846-1111

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346224185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MEDICALE PARK WAY",
            "address_2": "STE 205",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-550-0000",
            "fax_number": "919-570-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MEDICALE PARK WAY",
            "address_2": "STE 205",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-550-0000",
            "fax_number": "919-570-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "919-846-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.