Provider Demographics
NPI:1427089077
Name:DENNIS FOOT CARE
Entity type:Organization
Organization Name:DENNIS FOOT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:508-385-7126
Mailing Address - Street 1:160 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2200
Mailing Address - Country:US
Mailing Address - Phone:508-385-7126
Mailing Address - Fax:508-385-3099
Practice Address - Street 1:900 TOWN PLAZA, ROUTE 134
Practice Address - Street 2:
Practice Address - City:DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660
Practice Address - Country:US
Practice Address - Phone:508-385-7126
Practice Address - Fax:508-385-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9731831Medicaid
MA9731831Medicaid
MA5635280001Medicare NSC