Organization Active NPI

Tennessee Foot Care Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Ripley, TN
National Provider Identifier
1861679136
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TENNESSEE FOOT CARE CENTER LLC
Practice address
647 S Washington St
Ripley, TN 38063-2044
Phone
(731) 635-4800
Fax
(731) 635-4801
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Dr. Cedric K Cooper, DPMNPI 1184695306
Title
Member/Agent
Phone
(731) 784-7430

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

647 S Washington St
Ripley, TN 38063-2044

Mailing address

647 S Washington St
Ripley, TN 38063-2044
Phone (731) 635-4800

National Provider Directory

National Provider Directory

Locations

1642 E Main St
Humboldt, TN 38343
Phone (504) 261-5248

647 S Washington St
Ripley, TN 38063
Phone (731) 635-4800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1861679136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380632044",
            "telephone_number": "731-635-4800",
            "fax_number": "731-635-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380632044",
            "telephone_number": "731-635-4800",
            "fax_number": "731-635-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER/AGENT",
        "authorized_official_telephone_number": "731-784-7430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.