Active NPI
The Cape Fear Foot Center
- Primary Podiatric Medicine Podiatrist
- Wilmington, NC
National Provider Identifier
1841488947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 262
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Girard Young, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890265N | Medicaid | NC | |
| 890817C | Medicaid | NC | |
| CL3079 | Other | NC | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Primary Podiatric Medicine Podiatrist
- Wilmington, NC
- NPI 1689676009
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.