Active NPI
Mt Airy Foot and Ankle Center PLLC
- Podiatric Clinic/Center
- Mount Airy, NC
National Provider Identifier
1598924599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 519
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Sean Patrick Morrow, PHARMD
- Amy Grace Moser, PHARMD
- Mount Airy City Schools
- Mount Airy Emergency Physicians, PLLC
- Mt Airy Drug Inc
- Mt Airy OB GYN Center, Inc
- Mt Airy Therapy & Consulting Services, PLLC
- Mt. Airy Dialysis Center of Wake Forest University
- Mt. Airy Opco, LLC
- Mt. Airy Operating Company LLC
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.