Organization Active NPI

Total Foot Care, Inc. of Tennessee

  • Foot Surgery Podiatrist
  • Memphis, TN
National Provider Identifier
1518094085
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
652 Issued in TN
Legal business name
TOTAL FOOT CARE, INC. OF TENNESSEE
Practice address
1204 Madison Ave
Memphis, TN 38104-2226
Phone
(901) 523-7698
Fax
(901) 272-2045
NPI assigned
Feb 28, 2007
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Tyrone Teako Davis, DPMNPI 1467449041
Title
Physician
Phone
(901) 523-7698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 652 TN Primary

Addresses

Primary practice location

1204 Madison Ave
Memphis, TN 38104-2226

Mailing address

1204 Madison Ave
Memphis, TN 38104-2226
Phone (901) 523-7698

Other identifiers 2

IdentifierTypeStateIssuer
3354184MedicaidTN
4142034OtherTNBCBST

National Provider Directory

National Provider Directory

Locations

1204 Madison Ave
Memphis, TN 38104
Phone (901) 523-7698

Practitioners & affiliated clinicians

Practitioners 3

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1518094085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042226",
            "telephone_number": "901-523-7698",
            "fax_number": "901-272-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042226",
            "telephone_number": "901-523-7698",
            "fax_number": "901-272-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FOOT CARE, INC. OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "TEAKO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-523-7698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354184",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4142034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.