The Triad Foot Center, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

THE TRIAD FOOT CENTER, PA

Practice address

2706 Saint Jude St
Greensboro, NC 27405-3670

Phone

(336) 375-6990

Fax

(336) 375-0361

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie S. Bonkemeyer

Title

Manager

Phone

(336) 375-6990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1760566301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SAINT JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 SAINT JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRIAD FOOT CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "BONKEMEYER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-375-6990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.