Organization Active NPI

Dynamic Foot Care LLC

  • Podiatrist
  • Akron, OH
National Provider Identifier
1700076403
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003438 Issued in OH
Legal business name
DYNAMIC FOOT CARE LLC
Practice address
585 White Pond Dr
Suite E
Akron, OH 44320-1115
Phone
(330) 869-0669
Fax
(330) 869-5769
NPI assigned
Jul 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Felicia Ann Johnson, DPM
Title
Podiatrist
Phone
(330) 869-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36.003438 OH Primary

Addresses

Primary practice location

585 White Pond Dr
Suite E
Akron, OH 44320-1115

Mailing address

585 White Pond Dr
Suite E
Akron, OH 44320-1115
Phone (330) 869-0669

Other identifiers 1

IdentifierTypeStateIssuer
2769526MedicaidOH

Other names 1

  • DYNAMIC FOOT CARE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

554 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 869-0669

585 White Pond Dr
Ste E
Akron, OH 44320
Phone (330) 867-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1700076403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 WHITE POND DR",
            "address_2": "SUITE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201115",
            "telephone_number": "330-869-0669",
            "fax_number": "330-869-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 WHITE POND DR",
            "address_2": "SUITE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201115",
            "telephone_number": "330-869-0669",
            "fax_number": "330-869-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-29",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "330-869-0669",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIC FOOT CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.