Organization Active NPI

Preferred Footcare of Muncie, LLC

  • Podiatrist
  • New Castle, IN
National Provider Identifier
1689958977
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREFERRED FOOTCARE OF MUNCIE, LLC
Practice address
1007 N 16TH St
New Castle, IN 47362-4320
Phone
(765) 284-4220
Fax
(765) 284-5254
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Thomas E Freeman II, DPM
Title
Owner
Phone
(765) 284-4220

Specialties & licenses 1

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

Addresses

Primary practice location

1007 N 16TH St
New Castle, IN 47362-4320

Mailing address

1007 N 16TH St
New Castle, IN 47362-4320
Phone (765) 284-4220

National Provider Directory

National Provider Directory

Locations

3305 N Everbrook Ln
Muncie, IN 47304
Phone (765) 284-4220

113 S Memorial Dr
New Castle, IN 47362
Phone (765) 599-2754

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1689958977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N 16TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624320",
            "telephone_number": "765-284-4220",
            "fax_number": "765-284-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N 16TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624320",
            "telephone_number": "765-284-4220",
            "fax_number": "765-284-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FOOTCARE OF MUNCIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-284-4220",
        "authorized_official_name_suffix": "II",
        "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": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.