Organization Active NPI

Complete Foot Care LLC

  • Podiatrist
  • Tuscaloosa, AL
National Provider Identifier
1821238718
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0021 Issued in AL
Legal business name
COMPLETE FOOT CARE LLC
Practice address
411 Reston Dr
Tuscaloosa, AL 35406-2043
Phone
(205) 792-3668
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Stanford Rosen
Title
President
Phone
(205) 792-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0021 AL Primary

Addresses

Primary practice location

411 Reston Dr
Tuscaloosa, AL 35406-2043

Mailing address

411 Reston Dr
Tuscaloosa, AL 35406-2043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1821238718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 RESTON DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 RESTON DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062043",
            "telephone_number": "205-792-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-792-3668"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.