Active NPI
Walter Joy Falardeau III, DPM
- Podiatrist
- Mount Airy, NC
National Provider Identifier
1447256052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 263
- Practice address
- 367 S Andy Griffith Pkwy
Ste 200
Mount Airy, NC 27030-4010 - Phone
- (336) 443-9190
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 263 | NC | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 263 | NC | |
| Foot Surgery Podiatrist | 213ES0131X | 263 | NC | |
| Podiatrist | 213E00000X | 263 | NC | Primary |
Addresses
Primary practice location
367 S Andy Griffith Pkwy
Ste 200
Mount Airy, NC 27030-4010
Mailing address
1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 886-1918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890807G | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263 | NC | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1447256052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 LEE ANN DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252911",
"telephone_number": "704-886-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 S ANDY GRIFFITH PKWY",
"address_2": "STE 200",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304010",
"telephone_number": "336-443-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALARDEAU",
"first_name": "WALTER",
"middle_name": "JOY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "263",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "263",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NC",
"license": "263",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890807G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.