Carolina Podiatry Center PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

348 Issued in NC

Legal business name

CAROLINA PODIATRY CENTER PLLC

Practice address

36 14TH Ave NE
Suite 102
Hickory, NC 28601-2581

Phone

(828) 327-3029

Fax

(828) 327-3181

NPI assigned

Mar 2, 2007

Last updated

Dec 6, 2012By 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

Dr. William Jesse Johncock, DPMNPI 1346278629

Title

Sole Member

Phone

(828) 327-3029

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• William J. Johncock DPM Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• William Jesse Johncock, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Hickory, NC
  • NPI 1346278629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1942338538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 14TH AVE NE",
            "address_2": "SUITE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012581",
            "telephone_number": "828-327-3029",
            "fax_number": "828-327-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 14TH AVE NE",
            "address_2": "SUITE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012581",
            "telephone_number": "828-327-3029",
            "fax_number": "828-327-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PODIATRY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "JOHNCOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "828-327-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890808N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC  NUMBER",
            "identifier": "0808N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William J. Johncock DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Hickory, NC
• Providers in Hickory, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.