Organization Active NPI

Carolina Foot Institute, LLC

Doing business as The Foot Institute

  • Non-Pharmacy Dispensing Site
  • Orangeburg, SC
National Provider Identifier
1619235173
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CAROLINA FOOT INSTITUTE, LLC
Doing business as
The Foot Institute
Practice address
718 Broughton St
Orangeburg, SC 29115
Phone
(803) 531-2888
NPI assigned
May 2, 2012
Organization subpart
Yes
Parent organization
CAROLINA FOOT INSTITUTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Dr. Kevin L. Ray, DPMNPI 1194752253
Title
Medical Director
Phone
(803) 531-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

718 Broughton St
Orangeburg, SC 29115

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • The Foot Institute Doing business as

National Provider Directory

National Provider Directory
Part of
Carolina Foot Institute LLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1619235173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-531-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA FOOT INSTITUTE, LLC",
        "enumeration_date": "2012-05-02",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-531-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Foot Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.