Active NPI
Burlington Foot and Ankle Center
- Foot & Ankle Surgery Podiatrist
- Burlington, NC
National Provider Identifier
1740478130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 409
- Legal business name
- BURLINGTON FOOT AND ANKLE CENTER
- Practice address
- 428 Alamance Rd Ste C
Burlington, NC 27215-5500 - Phone
- (336) 226-9919
- Fax
- (336) 226-9959
- NPI assigned
- Oct 10, 2007
- 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
- Dr. John Andrew Petery, DPM
- Title
- Owner / Doctor
- Phone
- (336) 226-9919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 409 | NC | Primary |
Addresses
Primary practice location
428 Alamance Rd Ste C
Burlington, NC 27215-5500
Mailing address
428 Alamance Rd Ste C
Burlington, NC 27215-5500
Phone (336) 226-9919
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2433228B | Other | NC | MEDICARE GROUP PIN |
| 790213W | Medicaid | NC | |
| 890801U | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
408 Alamance Rd
Ste C
Burlington, NC 27215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1740478130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 ALAMANCE RD STE C",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155500",
"telephone_number": "336-226-9919",
"fax_number": "336-226-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 ALAMANCE RD STE C",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155500",
"telephone_number": "336-226-9919",
"fax_number": "336-226-9959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURLINGTON FOOT AND ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "PETERY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER / DOCTOR",
"authorized_official_telephone_number": "336-226-9919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "2433228B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790213W",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890801U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
- Burlington Anesthesia PA
- Burlington Care Center
- Burlington Care Center
- Burlington Chiropractic, Inc
- Burlington Dermatology Center, Inc.
- Burlington Health & Wellness, LLC
- Burlington Health Care Center 66, Inc. (Alamance Health Care Center)
- Burlington Medical Center PLLC
- Burlington Medical Equipment & Supplies, Inc.
- Burlington Medical Practice, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.