Organization Active NPI

Shoreline Foot & Ankle Center, PC

  • Durable Medical Equipment & Medical Supplies
  • Groton, CT
National Provider Identifier
1487706008
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORELINE FOOT & ANKLE CENTER, PC
Practice address
85 Poheganut Dr
Groton, CT 06340-3252
Phone
(860) 437-3737
Fax
(860) 437-0530
NPI assigned
Jan 16, 2007
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORELINE FOOT HEALTH CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Darren J Courtright, DPM
Title
Owner
Phone
(860) 437-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

85 Poheganut Dr
Groton, CT 06340-3252

Mailing address

85 Poheganut Dr
Groton, CT 06340-3252
Phone (860) 437-3737

National Provider Directory

National Provider Directory
Part of
Shoreline Foot Ankle Cente

Locations

85 Poheganut Dr
Groton, CT 06340
Phone (860) 448-6303

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1487706008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "860-437-3737",
            "fax_number": "860-437-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "860-437-3737",
            "fax_number": "860-437-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE FOOT & ANKLE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORELINE FOOT HEALTH CENTER, PC",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "COURTRIGHT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-437-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.