Charlotte Limb Preservation & Diabetic Foot Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CHARLOTTE LIMB PRESERVATION & DIABETIC FOOT CENTER

Practice address

10035 Park Cedar Dr Ste 100
Charlotte, NC 28210-8910

Phone

(917) 841-3619

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Ellenbogen, DPMNPI 1831222090

Title

Owner

Phone

(917) 841-3619

Specialties & licenses 1

Addresses

Other names 1

• Charlotte Limb Preservation & Diabetic Foot Center Other name

Tax ID family

Charlotte Limb Preservation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charlotte Limb Preservation & Diabetic Foot Center PLLC

  • Foot & Ankle Surgery Podiatrist
  • Charlotte, NC
  • NPI 1932856333
  NPD tax ID

Practitioners 1

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

• David Jason Ellenbogen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Charlotte, NC
  • NPI 1831222090
  NPD Authorized official

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1679218598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108910",
            "telephone_number": "917-841-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108910",
            "telephone_number": "917-841-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE LIMB PRESERVATION & DIABETIC FOOT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "ELLENBOGEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-841-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Limb Preservation & Diabetic Foot Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charlotte Health Initiative, Inc.
• Charlotte Holistic Health Center
• Charlotte Home Health Care, Inc.
• Charlotte Lab School
• Charlotte Leadership Family Services
• Charlotte Limb Preservation & Diabetic Foot Center PLLC
• Charlotte Lung and Health Center
• Charlotte Manor, LLC
• Charlotte MC LLC
• Charlotte Mecklenburg Hospital Authority

• Foot & Ankle Surgery Podiatrist in Charlotte, NC
• Providers in Charlotte, 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 May 4, 2022; 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.