Advanced Carolina Foot and Ankle Center, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

487 Issued in NC

Legal business name

ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC

Practice address

516 Village CT
Garner, NC 27529-3600

Phone

(919) 661-4150

Fax

(919) 779-8708

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chukwuma Ukata, D.P.M.NPI 1275630295

Title

Owner

Phone

(919) 906-2057

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chukwuma Ukata, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Garner, NC
  • NPI 1275630295
  Medicare reassignment NPD Authorized official
• Bessaliea Athalia Griffin

  • Foot & Ankle Surgery Podiatrist
  • Smithfield, NC
  • NPI 1558523779
  NPD (past)
• Nelly Ducrepin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hempstead, NY
  • NPI 1003074055

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1619150992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VILLAGE CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293600",
            "telephone_number": "919-661-4150",
            "fax_number": "919-779-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VILLAGE CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293600",
            "telephone_number": "919-661-4150",
            "fax_number": "919-779-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "UKATA",
        "authorized_official_first_name": "CHUKWUMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-906-2057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89046HI",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO2944",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Garner, NC
• Providers in Garner, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.