Organization Active NPI

Advantage Foot Care Associates, P.C.

  • Primary Podiatric Medicine Podiatrist
  • Ebensburg, PA
National Provider Identifier
1396749115
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC004163R Issued in PA
Legal business name
ADVANTAGE FOOT CARE ASSOCIATES, P.C.
Practice address
127 S Caroline St
Ebensburg, PA 15931-1619
Phone
(814) 472-4919
Fax
(814) 472-4961
NPI assigned
Jun 9, 2005
Last updated
Sep 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Melissa Knox Dumm, DPM
Title
Podiatrist
Phone
(814) 472-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC004163R PA Primary

Addresses

Primary practice location

127 S Caroline St
Ebensburg, PA 15931-1619

Mailing address

127 S Caroline St
Ebensburg, PA 15931-1619
Phone (814) 472-4919

Other identifiers 1

IdentifierTypeStateIssuer
0016251500004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425001024 PA Part B Supplier - Clinic/Group Practice 3274572789 Receives reassigned benefits from 1 practitioner
Practice locations: Portage, PA; Johnstown, PA; Lilly, PA; Nanty Glo, PA; Northern Cambria, PA; Cresson, PA; Saint Michael, PA; Sidman, PA…

National Provider Directory

National Provider Directory

Locations

109 Sumner St
Cresson, PA 16630
Phone (814) 886-8690

506 Gallitzin Rd
Cresson, PA 16630

7631 Admiral Peary Hwy
Cresson, PA 16630

856 Cambria St
Cresson, PA 16630

4501 Admiral Peary Hwy
Ebensburg, PA 15931
Phone (814) 472-0200

4848 Admiral Peary Hwy
Ebensburg, PA 15931

122 Carwyn Dr
Johnstown, PA 15904

1075 Chestnut St
Nanty Glo, PA 15943
Phone (814) 749-8799

1395 Cardiff Rd
Nanty Glo, PA 15943

281 Dogwood St
Northern Cambria, PA 15714
Phone (814) 951-9006

1026 Line Rd
Portage, PA 15946

271 Plane Rd
Portage, PA 15946

313 Humbert Rd
Sidman, PA 15955

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1396749115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S CAROLINE ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311619",
            "telephone_number": "814-472-4919",
            "fax_number": "814-472-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S CAROLINE ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311619",
            "telephone_number": "814-472-4919",
            "fax_number": "814-472-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE FOOT CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "DUMM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KNOX",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "814-472-4919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC004163R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016251500004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.