Fancy Feet Foot Care Center

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

636 Issued in NC

Legal business name

FANCY FEET FOOT CARE CENTER

Doing business as

Fffcc

Practice address

10716 Carmel Commons Blvd
Charlotte, NC 28226-3783

Phone

(980) 206-4660

NPI assigned

Sep 20, 2017

Last updated

Sep 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alysaa Phyars, DPM

Title

Owner

Phone

(919) 345-9535

Specialties & licenses 1

Addresses

Other names 1

• FFFCC Doing business as

Locations

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1538678792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 SHARONBROOK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 CARMEL COMMONS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263783",
            "telephone_number": "980-206-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANCY FEET FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "PHYARS",
        "authorized_official_first_name": "ALYSAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-345-9535",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FFFCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FFFCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Support Services, Inc.
• Family Support Services, Inc.
• Family Support Services, Inc.
• Family Treatment and Therapuetic Services
• Yuan Fan, MD
• Glen Anthony Fandetti, MD
• Heather Fangman, LPCA
• Mongai Fankam
• Kashmia A Fanning, MSW, LCSWA
• Fanous Clinic Medical Group PC

• Primary Podiatric Medicine Podiatrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.