Active NPI
Diagnostic & Comprehensive Foot Care
- Foot Surgery Podiatrist
- Columbia, SC
National Provider Identifier
1538211339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC519
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Byron Jackson, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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 DirectoryLocations
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.