Soles to Heel Foot and Ankle, LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

SOLES TO HEEL FOOT AND ANKLE, LLC

Practice address

1899 Lake Rd Ste 210
Hiram, GA 30141-2293

Phone

(678) 742-8433

Fax

(770) 738-3007

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Matrece Green-Watson, DPM

Title

Owner

Phone

(407) 844-4499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1508441395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COLLEGIATE DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274333",
            "telephone_number": "407-844-4499",
            "fax_number": "777-738-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 LAKE RD STE 210",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412293",
            "telephone_number": "678-742-8433",
            "fax_number": "770-738-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLES TO HEEL FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "GREEN-WATSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MATRECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-844-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.