Active NPI
Joseph Michael Eudy, C.PED.
- Pedorthist
- Statesville, NC
National Provider Identifier
1669527883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED2511
- Practice address
- 208 Old Mocksville Rd
Statesville, NC 28625-1930 - Phone
- (704) 872-7060
- Fax
- (704) 872-7096
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | |||
| Pedorthist | 224L00000X | CPED2511 | Primary |
Addresses
Primary practice location
208 Old Mocksville Rd
Statesville, NC 28625-1930
Mailing address
208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 872-7060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700616 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1669527883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 OLD MOCKSVILLE RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251930",
"telephone_number": "704-872-7060",
"fax_number": "704-872-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 OLD MOCKSVILLE RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251930",
"telephone_number": "704-872-7060",
"fax_number": "704-872-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUDY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "C.PED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": null,
"license": "CPED2511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700616",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
- Yalonda Trinace England, LPN
- Ronel Rocha Enrique, M.D.
- Marcia Christina Ensminger, C.N.M.
- Enterprise Healthcare of Statesville
- Kimberly Eroh, BCBA
- Joshua A Eudy, C.PED.
- Eugene C Wells MD PA
- Exchange Club Center for the Prevention of Child Abuse of Iredell Coun
- Exclusive Grooming & Hair Replacement Center
- Eye Care Unlimited Optometrists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.