Individual provider Active NPI

Faith E. Chin, D.P.M

  • Foot Surgery Podiatrist
  • Washington, DC
National Provider Identifier
1851304083
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
774000509 Issued in DC
Practice address
6939 Georgia Ave NW
Suite 103
Washington, DC 20012-2456
Phone
(202) 882-0288
Fax
(202) 882-0285
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 774000509 DC Primary

Addresses

Primary practice location

6939 Georgia Ave NW
Suite 103
Washington, DC 20012-2456

Mailing address

11636 Stewart LN
Apt. 204
Silver Spring, MD 20904-2485
Phone (301) 680-8896

Other identifiers 1

IdentifierTypeStateIssuer
011322300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
774000509DCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
James L. Davis, M.D. P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851304083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11636 STEWART LN",
            "address_2": "APT. 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042485",
            "telephone_number": "301-680-8896",
            "fax_number": "301-680-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 GEORGIA AVE NW",
            "address_2": "SUITE 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122456",
            "telephone_number": "202-882-0288",
            "fax_number": "202-882-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "FAITH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "DC",
            "license": "774000509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011322300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.