DT Foot Care PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N006091-1 Issued in NY

Legal business name

DT FOOT CARE PC

Practice address

9314 Queens Blvd
1E
Rego Park, NY 11374-1135

Phone

(718) 275-7600

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Tetrokalashvili, DPMNPI 1518988021

Title

President

Phone

(718) 969-0269

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• David Tetrokalashvili, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1518988021
  Medicare reassignment NPD Authorized official
• Walter Hernan Perez, D.P.M.

  • Podiatrist
  • Brooklyn, NY
  • NPI 1063435972
  NPD (past)
• Toru Shimoji

  • Podiatrist
  • Rego Park, NY
  • NPI 1215224480
  NPD (past)

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1871986752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 147TH ST",
            "address_2": "APT. E4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673733",
            "telephone_number": "718-969-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 QUEENS BLVD",
            "address_2": "1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-275-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DT FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "TETROKALASHVILI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-969-0269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006091-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "9541060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawnette A Douglas
• Dr John McPartlin DDS PC
• Rakhmin Bobby Drits, P.A
• DRS Drummer & Rubenstein of Forest
• George Drucker, LMSW
• Kelly Shengli Duan, PHARMD
• Duane Reade
• Mohit Dugar, M.D.
• Shaifali Dugar, M.D.
• Durable Personal Device Inc

• Podiatrist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.