Diabetic Foot Care Center Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC FOOT CARE CENTER INC

Practice address

3029 Webster Rd
Summersville, WV 26651-1041

Phone

(304) 872-9001

Fax

(304) 872-3218

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kirk J McKown, COFNPI 1518615160

Title

Ceo/Owner

Phone

(304) 872-9001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kirk McKown, BOC COF

  • Orthotic Fitter
  • Summersville, WV
  • NPI 1518615160
  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1740926484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 WEBSTER RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511041",
            "telephone_number": "304-872-9001",
            "fax_number": "304-872-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 WEBSTER RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511041",
            "telephone_number": "304-872-9001",
            "fax_number": "304-872-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC FOOT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MCKOWN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "304-872-9001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sieann Marie Deal
• Amanda Deitz
• Ryan W Dempsey
• Mary Jane Dennler
• Peggy Marie Desper, GN,LPN
• Brandi Elizabeth Dillard
• Anale Nikol Dilley
• Karen Fay Dillon
• Joseph Dinonno
• Makayla Caroline Dix

• Durable Medical Equipment & Medical Supplies in Summersville, WV
• Providers in Summersville, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.