Organization Active NPI

Foot and Ankle Center of the Carolinas, PA

  • Podiatrist
  • Forest City, NC
National Provider Identifier
1740378496
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
422 Issued in NC
Legal business name
FOOT AND ANKLE CENTER OF THE CAROLINAS, PA
Practice address
247 Shiloh Rd
Forest City, NC 28043-6958
Phone
(828) 245-6405
Fax
(828) 245-3923
NPI assigned
Oct 10, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Jason L Gross
Title
Business Manager
Phone
(828) 245-6405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 422 NC Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4387 NC

Addresses

Primary practice location

247 Shiloh Rd
Forest City, NC 28043-6958

Mailing address

247 Shiloh Rd
Forest City, NC 28043-6958
Phone (828) 245-6405

Other identifiers 1

IdentifierTypeStateIssuer
0184NOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

52 Hospital Dr
Ste 3A
Columbus, NC 28722
Phone (828) 859-6697

247 Shiloh Rd
Forest City, NC 28043
Phone (828) 245-6405

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1740378496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SHILOH RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280436958",
            "telephone_number": "828-245-6405",
            "fax_number": "828-245-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SHILOH RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280436958",
            "telephone_number": "828-245-6405",
            "fax_number": "828-245-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF THE CAROLINAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "828-245-6405",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "422",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0184N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.