Carolina Family Foot Care

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

CAROLINA FAMILY FOOT CARE

Practice address

3396 Six Forks Rd
Raleigh, NC 27609-7233

Phone

(919) 782-8124

Fax

(919) 557-5645

NPI assigned

Apr 24, 2008

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John P Miketa, DPMNPI 1013138528

Title

Owner

Phone

(919) 557-5148

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• John P Miketa, DPM

  • Podiatrist
  • Fuquay Varina, NC
  • NPI 1013138528
  NPD Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1881869535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261934",
            "telephone_number": "919-557-5148",
            "fax_number": "919-557-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3396 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-782-8124",
            "fax_number": "919-557-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MIKETA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-557-5148",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Ear & Hearing Clinic, PC
• Carolina Ear Hearing Aid Associates LLC
• Carolina Ear Nose & Throat PA
• Carolina Eldercare
• Carolina Endocrine, P.a.
• Carolina Foot Specialists PLLC
• Carolina Footprint Technology Inc (Foot Solutions)
• Carolina Functional Neurology Center
• Carolina Gynecology PA
• Carolina Gynecology PA

• Podiatric Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Podiatric Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.