Organization Active NPI

Christa M Gredlein D P M P a

  • Foot & Ankle Surgery Podiatrist
  • Reisterstown, MD
National Provider Identifier
1417055393
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01332 Issued in MD
Legal business name
CHRISTA M GREDLEIN D P M P A
Practice address
100 Owings CT
Suite 14
Reisterstown, MD 21136-6428
Phone
(410) 833-9353
Fax
(410) 833-9550
NPI assigned
Sep 21, 2006
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Dr. Christa Michelle Gredlein, DPMNPI 1609884956
Title
Owner
Phone
(410) 833-9353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01332 MD Primary

Addresses

Primary practice location

100 Owings CT
Suite 14
Reisterstown, MD 21136-6428

Mailing address

100 Owings CT
Suite 14
Reisterstown, MD 21136-6428
Phone (410) 833-9353

National Provider Directory

National Provider Directory

Locations

6701 N Charles St
#4104
Towson, MD 21204
Phone (410) 227-7149

Practitioners & affiliated clinicians

Practitioners 1

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1417055393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OWINGS CT",
            "address_2": "SUITE 14",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366428",
            "telephone_number": "410-833-9353",
            "fax_number": "410-833-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OWINGS CT",
            "address_2": "SUITE 14",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366428",
            "telephone_number": "410-833-9353",
            "fax_number": "410-833-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA M GREDLEIN D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "GREDLEIN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-833-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.