Organization Active NPI

Carolina Foot Specialists

  • Podiatrist
  • Durham, NC
National Provider Identifier
1972588424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CAROLINA FOOT SPECIALISTS
Practice address
6104 Fayetteville Rd
Ste 103
Durham, NC 27713
Phone
(919) 405-2222
Fax
(919) 405-4234
NPI assigned
Dec 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Cory Tobin, DPMNPI 1649253519
Title
DPM
Phone
(919) 846-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

6104 Fayetteville Rd
Ste 103
Durham, NC 27713

Mailing address

6104 Fayetteville Rd
Ste 103
Durham, NC 27713
Phone (919) 405-2222

Other identifiers 1

IdentifierTypeStateIssuer
014EWOtherBCBS

National Provider Directory

National Provider Directory

Locations

6104 Fayetteville Rd
Ste 103
Durham, NC 27713
Phone (919) 405-2222

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972588424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE RD",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-405-2222",
            "fax_number": "919-405-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE RD",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-405-2222",
            "fax_number": "919-405-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "919-846-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "014EW",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.