Active NPI
Comprehensive Foot and Ankle Center,PA
- Foot & Ankle Surgery Podiatrist
- Charlotte, NC
National Provider Identifier
1356524037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 413
- Legal business name
- COMPREHENSIVE FOOT AND ANKLE CENTER,PA
- Practice address
- 1928 Randolph Rd
Suite 214
Charlotte, NC 28207-1105 - Phone
- (704) 562-6384
- NPI assigned
- Dec 17, 2007
- 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
- Zachary J Nellas, DPM
- Title
- Owner
- Phone
- (704) 562-6384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 413 | NC | Primary |
Addresses
Primary practice location
1928 Randolph Rd
Suite 214
Charlotte, NC 28207-1105
Mailing address
1928 Randolph Road
Suite 214
Charlotte, NC 28207-1105
Phone (704) 332-5115
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D02704 | Other | NC | MEDICARE RAILROAD |
| 790801Y | Medicaid | NC | |
| NPD413 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
2711 Randolph Rd
Ste 503
Charlotte, NC 28207
Phone (704) 332-5115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264464000000",
"number": "1356524037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 RANDOLPH ROAD",
"address_2": "SUITE 214",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071105",
"telephone_number": "704-332-5115",
"fax_number": "704-332-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 RANDOLPH RD",
"address_2": "SUITE 214",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071105",
"telephone_number": "704-562-6384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE FOOT AND ANKLE CENTER,PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2010-01-26",
"status": "A",
"authorized_official_last_name": "NELLAS",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-562-6384",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "D02704",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790801Y",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPD413",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Complete Speech & Wellness, LLC
- Complete Speech Therapy and Wellness PLLC
- Complete Wellness Community Services Inc
- Comprehensive Behavior Supports of North Carolina LLC
- Comprehensive Counseling & Consulting Services, PA
- Comprehensive Pain & Spine Associates PLLC
- Comprehensive Pain & Spine Associates, PLLC
- Compression Solutions, LLC
- Compression Works Inc
- David Alan Compton, MD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.