John R Clay I, CERTIFIED PEDORTHIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

7795381 Issued in NC

Practice address

233 Johns Road
Maxton, NC 28364-1650

Phone

(336) 889-5909

Fax

(910) 390-9002

NPI assigned

Dec 8, 2008

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. John R Clay I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Foot Friend, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Maxton, NC
  • NPI 1629070891
  NPD Authorized official

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1487899357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 JOHNS ROAD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641650",
            "telephone_number": "336-889-5909",
            "fax_number": "910-390-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 JOHNS ROAD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641650",
            "telephone_number": "336-889-5909",
            "fax_number": "910-390-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CERTIFIED PEDORTHIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "7795381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CLAY",
            "middle_name": "R",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "CPED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in Maxton, NC
• Providers in Maxton, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.