Town Center Podiatry, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

600 Issued in NC

Legal business name

TOWN CENTER PODIATRY, PLLC

Practice address

140 Baker Rd
Archdale, NC 27263

Phone

(336) 875-5917

Fax

(336) 875-5919

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. N'Tuma Monday Jah, DPMNPI 1972823276

Title

Podiatrist

Phone

(336) 875-5917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• N'Tuma Monday Jah, DPM

  • Foot & Ankle Surgery Podiatrist
  • Archdale, NC
  • NPI 1972823276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1386152247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BAKER RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632758",
            "telephone_number": "336-875-5917",
            "fax_number": "336-875-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BAKER RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "27263",
            "telephone_number": "336-875-5917",
            "fax_number": "336-875-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "JAH",
        "authorized_official_first_name": "N'TUMA",
        "authorized_official_middle_name": "MONDAY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "336-875-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Archdale, NC
• Providers in Archdale, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.