Organization Active NPI

Diagnostic & Comprehensive Foot Care

  • Foot Surgery Podiatrist
  • Columbia, SC
National Provider Identifier
1538211339
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC519 Issued in SC
Legal business name
DIAGNOSTIC & COMPREHENSIVE FOOT CARE
Practice address
6941 N Trenholm Rd
H1
Columbia, SC 29206-1715
Phone
(803) 790-7200
Fax
(803) 790-0520
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Byron Jackson, DPMNPI 1265516447
Title
Owner
Phone
(803) 790-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X SC519 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

6941 N Trenholm Rd
H1
Columbia, SC 29206-1715

Mailing address

6941 N Trenholm Rd Ste H1
Columbia, SC 29206-1715
Phone (803) 790-7200

National Provider Directory

National Provider Directory

Locations

6941 N Trenholm Rd
Ste H1
Columbia, SC 29206
Phone (803) 790-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1538211339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 N TRENHOLM RD STE H1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061715",
            "telephone_number": "803-790-7200",
            "fax_number": "803-790-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 N TRENHOLM RD",
            "address_2": "H1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061715",
            "telephone_number": "803-790-7200",
            "fax_number": "803-790-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC & COMPREHENSIVE FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-790-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "SC519",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.