DEPENNDABLE FOOTCARE PC NPI 1578672291

NPI Information

  • NPI: 1578672291
  • Provider Name: DEPENNDABLE FOOTCARE, PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 3408 BRIDGETON COVE
    ANTIOCH, TN
    ZIP 37013
  • Phone: (615) 321-2711

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NPI Details

DEPENNDABLE FOOTCARE, PC is a foot and ankle surgery podiatrist in Antioch, TN. DEPENNDABLE FOOTCARE, PC NPI is 1578672291. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3408 BRIDGETON COVE
ANTIOCH, TN
ZIP 37013
Phone: (615) 321-2711
Fax: (615) 321-2714

The provider's authorized official is Milton Earl Penn .
The authorized official title is Podiatrist/owner and has the following contact phone number (615) 243-7636.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 6/21/2018.

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 SurgeryDPM0000000452TENNESSEENo
2213ES0103XPodiatristFoot & Ankle SurgeryDPM452TENNESSEEYes

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
14123039OTHERTENNESSEEBCBS
2=========OTHERTENNESSEEEIN
33734591MEDICAIDTENNESSEE

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: 11/21/2025

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