NPIMap

Organization Active NPI

Podiatric Health Care

  • Podiatrist
  • Charlotte, NC
National Provider Identifier
1841525771
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
377 Issued in NC
Legal business name
PODIATRIC HEALTH CARE
Practice address
512 E Kingston Ave
Charlotte, NC 28203-5118
Phone
(704) 841-4000
Fax
(704) 841-4338
NPI assigned
Oct 9, 2009
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Kathy A Henricksen, DPMNPI 1770795650
Title
Physcian
Phone
(704) 841-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 377 NC Primary

Addresses

Primary practice location

512 E Kingston Ave
Charlotte, NC 28203-5118

Mailing address

PO Box 2793
Matthews, NC 28106-2793
Phone (704) 841-4000

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": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1841525771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2793",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281062793",
            "telephone_number": "704-841-4000",
            "fax_number": "704-841-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E KINGSTON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035118",
            "telephone_number": "704-841-4000",
            "fax_number": "704-841-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "HENRICKSEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "704-841-4000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.