Dover Foot Specialty Center, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0187 Issued in NH

Legal business name

DOVER FOOT SPECIALTY CENTER, PC

Practice address

750 Central Ave
Suite J
Dover, NH 03820-3434

Phone

(603) 742-2245

Fax

(603) 742-0712

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Wayne C Gould, DPMNPI 1467436857

Title

Ceo

Phone

(603) 742-2245

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/xCzjlohQb7LjffswhVfzHuvSjTl4Y9sP/

Practitioners 3

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

• Marc R Bessette, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dover, NH
  • NPI 1285618678
  Medicare reassignment NPD
• Jana Balas Goff, DPM

  • Podiatrist
  • Portland, OR
  • NPI 1396150652

  NH

  Medicare reassignment NPD
• Wayne C Gould, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dover, NH
  • NPI 1467436857
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1780711481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVE",
            "address_2": "SUITE J",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-742-2245",
            "fax_number": "603-742-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVE",
            "address_2": "SUITE J",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-742-2245",
            "fax_number": "603-742-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER FOOT SPECIALTY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-742-2245",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "0187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BESSETTE",
            "identifier": "1285618678",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GOULD",
            "identifier": "1467436857",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30362836",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80008271",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Douglas, PT, DPT
• Dover Childrens Home
• Dover Dental Associates, LLP
• Dover Dental Group PLLC
• Dover Eye Care, PC
• Dover Internal and Geriatric Medicine, PLLC
• Dover Pediatric Dentistry & Orthodontics PLLC
• Dover Pediatrics, PLLC
• Dover Physical Therapy
• Dover Physical Therapy LLC

• Foot & Ankle Surgery Podiatrist in Dover, NH
• Providers in Dover, NH by specialty
• Foot & Ankle Surgery Podiatrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.