Organization Active NPI

Mt Airy Foot and Ankle Center PLLC

  • Podiatric Clinic/Center
  • Mount Airy, NC
National Provider Identifier
1598924599
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
519 Issued in NC
Legal business name
MT AIRY FOOT AND ANKLE CENTER PLLC
Practice address
1908 Caudle Dr
Suite 103
Mount Airy, NC 27030-4312
Phone
(610) 505-4607
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. James Shipley, DPM
Title
Owner
Phone
(336) 443-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 519 NC Primary

Addresses

Primary practice location

1908 Caudle Dr
Suite 103
Mount Airy, NC 27030-4312

Mailing address

1908 Caudle Dr
Suite 103
Mount Airy, NC 27030-4312
Phone (336) 443-9190

National Provider Directory

National Provider Directory

Locations

1908 Caudle Dr
Ste 103
Mount Airy, NC 27030
Phone (336) 345-7140

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1598924599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 CAUDLE DR",
            "address_2": "SUITE 103",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304312",
            "telephone_number": "336-443-9190",
            "fax_number": "336-443-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 CAUDLE DR",
            "address_2": "SUITE 103",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304312",
            "telephone_number": "610-505-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT AIRY FOOT AND ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-443-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NC",
            "license": "519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.