Advanced Foot Care Center, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

631 Issued in TN

Legal business name

ADVANCED FOOT CARE CENTER, PC

Practice address

2824 Merchants Dr
Knoxville, TN 37912-4905

Phone

(865) 521-6635

NPI assigned

Jul 30, 2006

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Velarde, DPMNPI 1134161979

Title

Owner

Phone

(865) 523-1141

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Velarde, DPM

  • Foot Surgery Podiatrist
  • Knoxville, TN
  • NPI 1134161979
  Medicare reassignment NPD Authorized official
• David Nicholas Gavin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1871541680

  TN

  Medicare reassignment NPD
• Julie Johnson Jones, DPM

  • Foot Surgery Podiatrist
  • Morristown, TN
  • NPI 1982661559
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1780699249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 MERCHANTS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124905",
            "telephone_number": "865-523-1145",
            "fax_number": "865-521-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 MERCHANTS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124905",
            "telephone_number": "865-521-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-523-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8893748",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00182231",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726396",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7644655",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "TN0102",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4099765",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Dermatology Partners PA
• Advanced Diagnostic Imaging, PC (OrthoKnox)
• Advanced Diagnostic Imaging, PC (OrthoKnox)
• Advanced Medical Technologies, Inc.
• Advanced Pain Therapeutics
• Advanced Pain Therapeutics of Knoxville, TN LLC
• Advanced Physical Therapy of Knoxville, Inc.
• Advanced Rehabilitation & Pain Managemen

• Podiatrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.