Organization Active NPI

The Cape Fear Foot Center

  • Primary Podiatric Medicine Podiatrist
  • Wilmington, NC
National Provider Identifier
1841488947
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
262 Issued in NC
Legal business name
THE CAPE FEAR FOOT CENTER
Practice address
1919 S 16TH St
Wilmington, NC 28401-6610
Phone
(910) 763-9334
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Gregory Girard Young, DPMNPI 1689676009
Title
Owner
Phone
(910) 763-9334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 262 NC Primary

Addresses

Primary practice location

1919 S 16TH St
Wilmington, NC 28401-6610

Mailing address

1919 S 16TH St
Wilmington, NC 28401-6610
Phone (910) 763-9334

Other identifiers 3

IdentifierTypeStateIssuer
890265NMedicaidNC
890817CMedicaidNC
CL3079OtherNCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1841488947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016610",
            "telephone_number": "910-763-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016610",
            "telephone_number": "910-763-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAPE FEAR FOOT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GIRARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-763-9334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890265N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890817C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL3079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.