Organization Active NPI

From the Ground Up Podiatry

  • Podiatrist
  • Stratham, NH
National Provider Identifier
1417510637
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FROM THE GROUND UP PODIATRY
Practice address
72 Portsmouth Ave
Stratham, NH 03885-2566
Phone
(603) 502-4216
NPI assigned
Apr 15, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
James Dolan, DPMNPI 1942231568
Title
Owner, Authorized Official
Phone
(603) 502-4216

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

72 Portsmouth Ave
Stratham, NH 03885-2566

Mailing address

21 Lincoln St
Exeter, NH 03833-3212
Phone (603) 502-4216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002135 NH Part B Supplier - Clinic/Group Practice 7113253766 Practice locations: Stratham, NH

National Provider Directory

National Provider Directory

Locations

72 Portsmouth Ave
Stratham, NH 03885
Phone (603) 502-4216

72 Portsmouth Ave
Ste 107
Stratham, NH 03885
Phone (603) 580-4440

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": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1417510637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINCOLN ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038333212",
            "telephone_number": "603-502-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PORTSMOUTH AVE",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852566",
            "telephone_number": "603-502-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM THE GROUND UP PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "603-502-4216",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.