Organization Active NPI

Michael J Ryan DPM PA

Doing business as Ryan Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Charlotte, NC
National Provider Identifier
1770631384
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
284 Issued in NC
Legal business name
MICHAEL J RYAN DPM PA
Doing business as
Ryan Foot & Ankle Clinic
Practice address
8310 Medical Plaza Dr Ste E
Charlotte, NC 28262-6703
Phone
(704) 548-0222
Fax
(704) 548-1157
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Michael. J Ryan, DPM
Title
Owner
Phone
(704) 548-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 284 NC Primary

Addresses

Primary practice location

8310 Medical Plaza Dr Ste E
Charlotte, NC 28262-6703

Mailing address

8310 Medical Plaza Dr Ste E
Charlotte, NC 28262-6703
Phone (704) 548-0222

Other names 1

  • RYAN FOOT & ANKLE CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

8310 Medical Plaza Dr
Ste E
Charlotte, NC 28262
Phone (704) 548-0222

492 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 788-9797

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1770631384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 MEDICAL PLAZA DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626703",
            "telephone_number": "704-548-0222",
            "fax_number": "704-548-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 MEDICAL PLAZA DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626703",
            "telephone_number": "704-548-0222",
            "fax_number": "704-548-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J RYAN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHAEL.",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-548-0222",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYAN FOOT & ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.