DPMMOFFETTNRNC LLC (NPI# 1144275124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144275124 |
| Entity Type | Organization |
| Organization Name | DPMMOFFETTNRNC LLC |
| Practice Address |
1000 College St Wilkesboro NC 28697-2732 |
| Mailing Address |
2017 Sprucewood St Albemarle NC 28001-8117 |
| Practice Telephone | 7044381821 |
| Mailing Telephone | 7044381821 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | COLIN MOFFETT (OWNER) |
| Authorized Official Telephone | 7044381821 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 139 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8908125 | 05 |
| Street Address |
1000 COLLEGE ST |
| City | WILKESBORO |
| State | NC |
| Zip Code | 28697-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840378 | Accordius Health At Wilkesboro LLC | Respite Care | 1000 College St, Wilkesboro, NC 28697-2732 | 2019-09-17 |
| 1013405018 | Curis At Wilkesboro Opco LLC | Skilled Nursing Facility | 1000 College St, Wilkesboro, NC 28697 | 2018-04-25 |
| 1740443274 | Tracy Lynn Mcglamery | Physical Therapy Assistant | 1000 College St, Wilkesboro, NC 28697-2732 | 2008-07-03 |
| 1255416293 | Avante At Wilkesboro, Inc. | Nursing Facility/Intermediate Care Facility | 1000 College St, Wilkesboro, NC 28697-2732 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346679206 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 330 Darnell Lane, Wilkesboro, NC 28697 | 2013-11-01 |
| 1639456676 | Strategic Interventions | Community/Behavioral Health | 176 Rest Home Road, Wilkesboro, NC 28697 | 2011-11-04 |
| 1063703247 | Tessa Walter | Physical Therapist | 371 Old Farms Road, Wilkesboro, NC 28697 | 2011-04-22 |
| 1922242742 | Pradip Thakkar, Md | Family Medicine | 1600 Curtis Bridge Road, Wilkesboro, NC 28697 | 2009-04-23 |
| 1366656746 | Khot Medical Clinic | Family Medicine | 1216 D School St, Wilkesboro, NC 28697 | 2007-05-09 |
| 1295868644 | Amy K. Gardner | Marriage & Family Therapist | 507 Courthouse Drive, Wilkesboro, NC 28697 | 2007-03-14 |
| 1457405854 | Appalachian Counseling | Counselor | 100 North Bridge St, Suite 101, Wilkesboro, NC 28697 | 2007-01-22 |
| 1194893818 | Thomas K Mcmahan Md Pa | Internal Medicine | 1710 Parkwood Drive, Wilkesboro, NC 28697 | 2006-12-01 |
| 1952480246 | Walter Clyde Holloway | Chiropractor | 1240 School Street, Wilkesboro, NC 28697 | 2006-11-06 |
| 1609958750 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 1801 Us Hwy 421, Wilkesboro, NC 28697 | 2006-10-19 |
| Find all providers in zip 28697 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073614384 | Salem Foot Care, P.a. | Podiatrist | 1505 River St, Wilkesboro, NC 28697-7391 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1902370968 | Mission Foot and Ankle, Pllc | Podiatrist | 4140 Fayetteville Rd, Lumberton, NC 28358-2669 | 2019-01-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1598240525 | Innovative Foot and Ankle Care Pllc | Podiatrist | 318 English Oak Rd, Fletcher, NC 28732-8368 | 2018-09-25 |
| 1568949915 | Natalie Patricia Martinez-jones | Podiatrist | 9601 Holly Point Dr Ste 203, Huntersville, NC 28078-5069 | 2018-07-27 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1508215179 | Bryan Joseph Williams | Podiatrist | 428 N Trade St Ste 100, Matthews, NC 28105-1729 | 2016-06-06 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1578941423 | Kristin A Kirby | Podiatrist | 15419 Hodges Cir Ste 200, Huntersville, NC 28078 | 2015-05-12 |
| 1396138228 | Barnabas Podiatry & Health Wellness Center LLC | Podiatrist | 2709 Southern Trace Dr, Waxhaw, NC 28173-0010 | 2015-03-17 |
| Find all providers with the same taxonomy | ||||
| City | WILKESBORO |
| Zip Code | 28697 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.