Primary Foot & Ankle Care

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000824 Issued in GA

Legal business name

PRIMARY FOOT & ANKLE CARE

Practice address

862 Amber Hill CT
Grayson, GA 30017

Phone

(770) 513-3556

Fax

(770) 513-3556

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By 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

Tom Tien Dang, DPMNPI 1649474032

Title

President

Phone

(770) 513-3556

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tom Dang Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tom Tien Dang, DPM

  • Podiatrist
  • Commerce, GA
  • NPI 1649474032
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619078276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 AMBER HILL CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "30017",
            "telephone_number": "770-513-3556",
            "fax_number": "770-513-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 AMBER HILL CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "30017",
            "telephone_number": "770-513-3556",
            "fax_number": "770-513-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY FOOT & ANKLE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "TIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-513-3556",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00771427E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom Dang",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Podiatrist in Grayson, GA
• Providers in Grayson, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.