NPIMap

Organization Active NPI

Moses Cone Affiliated Physicians, Inc.

Doing business as The Triad Foot Center

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, NC
National Provider Identifier
1417263385
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOSES CONE AFFILIATED PHYSICIANS, INC.
Doing business as
The Triad Foot Center
Practice address
2706 Saint Jude St
Greensboro, NC 27405-3670
Phone
(336) 375-6990
Fax
(336) 375-0361
NPI assigned
Aug 30, 2010
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Mr. Kenneth K. Boggs
Title
Cfo
Phone
(336) 832-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2706 Saint Jude St
Greensboro, NC 27405-3670

Mailing address

2706 Saint Jude St
Greensboro, NC 27405-3670
Phone (336) 375-6990

Other identifiers 1

IdentifierTypeStateIssuer
5915081MedicaidNC

Other names 1

  • The Triad Foot Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Affiliated Phy12 organizations share this tax ID, including this one
Part of
Moses Cone Mem Hosp

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1417263385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SAINT JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 SAINT JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES CONE AFFILIATED PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2010-08-30",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-832-8005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Triad Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.