Allstar Foot Care Center LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000819 Issued in GA

Legal business name

ALLSTAR FOOT CARE CENTER LLC

Practice address

285 Boulevard NE
Suite 140
Atlanta, GA 30312-4205

Phone

(404) 265-1044

Fax

(404) 265-1047

NPI assigned

May 16, 2008

Last updated

Jun 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benedicto V Bituin, DPMNPI 1932216405

Title

Owner

Phone

(404) 693-3914

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Benedicto V Bituin, DPM

  • Podiatrist
  • Atlanta, GA
  • NPI 1932216405
  NPD (past) Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1730346941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121065",
            "telephone_number": "404-693-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-265-1044",
            "fax_number": "404-265-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "BITUIN",
        "authorized_official_first_name": "BENEDICTO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-693-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00783956B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allpere Enterprises Buckhead Inc (Foot Solutions)
• Ashley M Allred, BEHAVIOR TECHNICIAN
• Mary Allred
• Madeline Cagle Allsopp, RN
• Ralph Norman Allsopp, PH.D.
• Heather Allstrom, RN
• Allwaz Medical LLC
• Fawziah Khalid a Almana, M.D.
• Rebecca Almand, CNM
• Sahar Naief Almansoori, MD

• Podiatrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.