NPIMap

Organization Active NPI

Foothills Ortho & Sports Medicine

Doing business as Foothills Orthopaedics and Sports Medicine Center

  • Specialist
  • Piedmont, SC
National Provider Identifier
1447456975
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FOOTHILLS ORTHO & SPORTS MEDICINE
Doing business as
Foothills Orthopaedics and Sports Medicine Center
Practice address
3150 Highway 153
Piedmont, SC 29673-9498
Phone
(864) 295-1231
Fax
(864) 295-0095
NPI assigned
Jun 22, 2007
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Daniel Lee, M.D.NPI 1447296793
Title
Owner
Phone
(864) 295-1231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3150 Highway 153
Piedmont, SC 29673-9498

Mailing address

3150 Highway 153
Piedmont, SC 29673-9498
Phone (864) 295-1231

Other names 1

  • Foothills Orthopaedics and Sports Medicine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000028 SC Part B Supplier - Clinic/Group Practice 8921108432 Receives reassigned benefits from 7 practitioners
Practice locations: Piedmont, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1447456975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-295-1231",
            "fax_number": "864-295-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-295-1231",
            "fax_number": "864-295-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS ORTHO & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-295-1231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Orthopaedics and Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.