NPIMap

Organization Active NPI

Grant County Foot Specialist

  • Podiatrist
  • Dry Ridge, KY
National Provider Identifier
1366698680
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
254 Issued in KY
Legal business name
GRANT COUNTY FOOT SPECIALIST
Practice address
106 S Main St
Dry Ridge, KY 41035-9406
Phone
(859) 824-1444
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Brian John Beach, DPMNPI 1396741096
Title
Podiatrist
Phone
(859) 824-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 254 KY Primary

Addresses

Primary practice location

106 S Main St
Dry Ridge, KY 41035-9406

Mailing address

106 S Main St
Dry Ridge, KY 41035-9406
Phone (859) 824-1444

National Provider Directory

National Provider Directory

Locations

106 S Main St
Dry Ridge, KY 41035
Phone (513) 338-4614

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1366698680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359406",
            "telephone_number": "859-824-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359406",
            "telephone_number": "859-824-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY FOOT SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "859-824-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dry Ridge, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.