Active NPI
Uwharrie Podiatry, LLC
- Podiatric Clinic/Center
- Albemarle, NC
National Provider Identifier
1962673640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 139
- Legal business name
- UWHARRIE PODIATRY, LLC
- Practice address
- 143 N 3Rd St
Albemarle, NC 28001-4901 - Phone
- (704) 983-5763
- Fax
- (704) 983-5642
- NPI assigned
- Mar 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Colin Lee Moffett, DPM
- Title
- Owner/Doctor
- Phone
- (704) 983-5763
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 139 | NC | Primary |
Addresses
Primary practice location
143 N 3Rd St
Albemarle, NC 28001-4901
Mailing address
143 N 3Rd St
Albemarle, NC 28001-4901
Phone (704) 983-5763
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08125 | Other | NC | BCBS |
| 243063C | Other | NC | PTAN |
| 8908125 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1962673640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 N 3RD ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280014901",
"telephone_number": "704-983-5763",
"fax_number": "704-983-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 N 3RD ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280014901",
"telephone_number": "704-983-5763",
"fax_number": "704-983-5642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UWHARRIE PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "MOFFETT",
"authorized_official_first_name": "COLIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "704-983-5763",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NC",
"license": "139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08125",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "243063C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908125",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.