Organization Active NPI

Cabarrus Podiatry Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Concord, NC
National Provider Identifier
1487735494
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
150 Issued in NC
Legal business name
CABARRUS PODIATRY ASSOCIATES PC
Practice address
851 Bradley St
Concord, NC 28025-2979
Phone
(704) 788-1142
Fax
(704) 782-7912
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. John Michael Diehl Sr., DPM
Title
President
Phone
(704) 788-1142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 150 NC Primary

Addresses

Primary practice location

851 Bradley St
Concord, NC 28025-2979

Mailing address

851 Bradley Street
Concord, NC 28025
Phone (704) 788-1142

Other identifiers 2

IdentifierTypeStateIssuer
1487735494OtherNCNPI
7908022MedicaidNC

National Provider Directory

National Provider Directory

Locations

851 Bradley St NE
Concord, NC 28025
Phone (704) 788-1142

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1487735494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BRADLEY STREET",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-788-1142",
            "fax_number": "704-782-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 BRADLEY ST",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252979",
            "telephone_number": "704-788-1142",
            "fax_number": "704-782-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-788-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487735494",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.