CAROLINA FAMILY FOOT CARE NPI 1881869535

NPI Information

NPI: 1881869535
Provider Name: CAROLINA FAMILY FOOT CARE
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
3396 SIX FORKS RD
RALEIGH, NC
ZIP 27609
Phone: (919) 782-8124
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CAROLINA FAMILY FOOT CARE is a podiatric clinic center in Raleigh, NC. CAROLINA FAMILY FOOT CARE NPI is 1881869535. The provider is registered as an organization entity type.

The provider's business location address is:

3396 SIX FORKS RD
RALEIGH, NC
ZIP 27609-233
Phone: (919) 782-8124
Fax: (919) 557-5645

The provider's authorized official is John P Miketa .
The authorized official title is Owner and has the following contact phone number (919) 557-5148.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 8/5/2008.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QP1100X	Clinic/Center	Podiatric			Yes

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
1	0659780002	MEDICARE NSC	NORTH CAROLINA
2	5950035	MEDICAID	NORTH CAROLINA
3	0812420002	MEDICARE NSC	NORTH CAROLINA
4	2433035	MEDICARE PIN	NORTH 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: 11/14/2023

NPI Synchronization or Removal

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