Thompson Pedorthics LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

THOMPSON PEDORTHICS LLC

Doing business as

Premier Foot Care

Practice address

200 W Harrison St Ste B
Dillon, SC 29536-3331

Phone

(912) 492-1824

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Demon Thompson, CPEDNPI 1063759249

Title

Owner/Provider

Phone

(912) 492-1824

Specialties & licenses 1

Addresses

Other names 1

• Premier Foot Care Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demon Randolph Thompson, CPED

  • Other Technician
  • Savannah, GA
  • NPI 1063759249

  Technician, Other

  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1437865532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST STE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363331",
            "telephone_number": "912-492-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST STE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363331",
            "telephone_number": "912-492-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON PEDORTHICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEMON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "912-492-1824",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "200 W Harrison St Ste B",
            "city": "Dillon",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295363331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Other Technician in Dillon, SC
• Providers in Dillon, SC by specialty
• Other Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.