Active NPI
Gentle Foot Care Inc
- Foot & Ankle Surgery Podiatrist
- Hixson, TN
National Provider Identifier
1730169434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- GENTLE FOOT CARE INC
- Practice address
- 1021 Executive Dr
Suite 101
Hixson, TN 37343-7918 - Phone
- (423) 877-0050
- Fax
- (423) 877-7791
- NPI assigned
- Jan 19, 2006
- Last updated
- Aug 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Mai
- Title
- Office Manager
- Phone
- (423) 544-2238
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
1021 Executive Dr
Suite 101
Hixson, TN 37343-7918
Mailing address
1021 Executive Dr
Suite 101
Hixson, TN 37343-7907
Phone (423) 877-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3353471 | Medicaid | TN |
Other names 1
- GENTLE FOOT CARE PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Hixson, TN
- NPI 1215072244
-
- Primary Podiatric Medicine Podiatrist
- Dayton, TN
- NPI 1861594459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1730169434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 EXECUTIVE DR",
"address_2": "SUITE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373437907",
"telephone_number": "423-877-0050",
"fax_number": "423-877-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 EXECUTIVE DR",
"address_2": "SUITE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373437918",
"telephone_number": "423-877-0050",
"fax_number": "423-877-7791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE FOOT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "MAI",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "423-544-2238"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3353471",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENTLE FOOT CARE PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.