NPIMap

Organization Active NPI

Mobile Podiatry South Carolina

  • Podiatrist
  • Columbia, SC
National Provider Identifier
1669859104
Registry record updated Aug 30, 2020
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Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MOBILE PODIATRY SOUTH CAROLINA
Practice address
10 Summerlea LN
Columbia, SC 29203-3915
Phone
(803) 570-2209
Fax
(888) 866-4740
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Authorized official

Name
Keyoka Smith, DPM
Title
Owner
Phone
(803) 570-2209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

10 Summerlea LN
Columbia, SC 29203-3915

Mailing address

PO Box 705
Columbia, SC 29202-0705
Phone (803) 570-2209

Other names 1

  • Special Care Podiatry of South Carolina Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1669859104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020705",
            "telephone_number": "803-570-2209",
            "fax_number": "888-866-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUMMERLEA LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033915",
            "telephone_number": "803-570-2209",
            "fax_number": "888-866-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRY SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEYOKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-570-2209",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Care Podiatry of South Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Special Care Podiatry of South Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.