Organization Active NPI

Carolina Foot Clinic, P.C.

  • Podiatric Clinic/Center
  • Columbia, SC
National Provider Identifier
1578744843
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
CAROLINA FOOT CLINIC, P.C.
Practice address
1900 Hampton St
Columbia, SC 29201-3536
Phone
(803) 779-5005
Fax
(803) 252-1720
NPI assigned
Nov 15, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Benjamim Anthony Lanza, D.P.M.
Title
Owner
Phone
(803) 779-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1900 Hampton St
Columbia, SC 29201-3536

Mailing address

1900 Hampton St
Columbia, SC 29201-3536
Phone (803) 779-5005

National Provider Directory

National Provider Directory

Locations

1900 Hampton St
Columbia, SC 29201
Phone (803) 573-9834

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1578744843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013536",
            "telephone_number": "803-779-5005",
            "fax_number": "803-252-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013536",
            "telephone_number": "803-779-5005",
            "fax_number": "803-252-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "BENJAMIM",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-779-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 21, 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.