Purdieinc, LLC

Primary specialty

PedorthistTaxonomy code 224L00000X

Legal business name

PURDIEINC, LLC

Doing business as

Foot Solutions Greenville

Practice address

103 E Butler Rd Ste K
Mauldin, SC 29662-2140

Phone

(864) 412-8513

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Kendrick Purdie

Title

Owner

Phone

(843) 530-3665

Specialties & licenses 1

Addresses

Other names 1

• Foot Solutions Greenville Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1902547821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655H FAIRVIEW RD # 156",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806706",
            "telephone_number": "843-530-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BUTLER RD STE K",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622140",
            "telephone_number": "864-412-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDIEINC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "PURDIE",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-530-3665"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pedorthist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Pedorthist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.