Coastal Foot Center LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

COASTAL FOOT CENTER LLC

Practice address

9912 Dimitrios Ave
Ste 103
Daphne, AL 36526-9569

Phone

(251) 626-6550

Fax

(833) 254-2641

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joe B Griffin, DPM

Title

Owner/Podiatrist

Phone

(251) 626-6550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1437459732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 DIMITRIOS BLVD STE 103",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269569",
            "telephone_number": "251-626-6550",
            "fax_number": "833-254-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 DIMITRIOS AVE",
            "address_2": "STE 103",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269569",
            "telephone_number": "251-626-6550",
            "fax_number": "833-254-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "251-626-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Daphne, AL
• Providers in Daphne, AL by specialty
• Foot & Ankle Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.