Organization Active NPI

Innovative Foot and Ankle Care PLLC

  • Podiatrist
  • Fletcher, NC
National Provider Identifier
1598240525
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
INNOVATIVE FOOT AND ANKLE CARE PLLC
Practice address
318 English Oak Rd
Fletcher, NC 28732-8368
Phone
(229) 548-8481
NPI assigned
Sep 25, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Dr. Devin Kyle Grant, DPM
Title
Podiatrist
Phone
(229) 548-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

318 English Oak Rd
Fletcher, NC 28732-8368

Mailing address

318 English Oak Rd
Fletcher, NC 28732-8368
Phone (229) 548-8481

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1598240525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ENGLISH OAK RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287328368",
            "telephone_number": "229-548-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ENGLISH OAK RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287328368",
            "telephone_number": "229-548-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FOOT AND ANKLE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "229-548-8481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fletcher, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.