INSTRIDE FOOT AND ANKLE SPECIALISTS PLLC NPI 1104170638

NPI Information

  • NPI: 1104170638
  • Provider Name: INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 11030 S TRYON ST
    SUITE 308
    CHARLOTTE, NC
    ZIP 28273
  • Phone: (704) 504-1004

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NPI Details

INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC is a foot and ankle surgery podiatrist in Charlotte, NC. INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC NPI is 1104170638. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11030 S TRYON ST
SUITE 308
CHARLOTTE, NC
ZIP 28273-545
Phone: (704) 504-1004

The provider's authorized official is Roxanne Lynn Burgess .
The authorized official title is Partner and has the following contact phone number (704) 504-1004.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 5/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NCA086B699MEDICARE PINNORTH CAROLINA
26712460003MEDICARE NSCNORTH CAROLINA
389081AVMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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