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WALLACE FOOT CENTER
NPI 1275709677
Podiatrist - Foot & Ankle Surgery in Wallace, NC

Active since May 06, 2008
114 N NORWOOD ST, WALLACE, NC 28466(910) 285-3362(910) 285-6683 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wallace Foot Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE FOOT CENTER (NPI 1275709677) is a healthcare organization registered as a foot & ankle surgery in Wallace, North Carolina and active in the NPI registry since May 2008. The organization lists Jeffrey B Pupp, Owner, as its authorized official.

NPPES Registry Identity

NPI1275709677
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJEFFREY B PUPP
Location Address114 N NORWOOD STWallace, NC 28466-2730
Mailing Address114 N Norwood StWallace, NC 28466-2730 · (910) 285-3362 · Fax (910) 285-6683
Phone(910) 285-3362
Fax(910) 285-6683
Organization SubpartNo
Authorized OfficialJeffrey B PuppOwner · (910) 285-3362
Enumeration DateMay 6, 2008
✔ NPI 1275709677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NC · 449
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 230 (NC)
114 N NORWOOD ST, Wallace, NC 28466
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Other Names 1

Doing Business AsWallace Foot Center

Other Identifiers 6

OtherB1114NC · Medcost
Medicaid890152PNC
Other2432650ANC · Medicare Ptan
Other0152PNC · Bcbs Nc
OtherCJ7762NC · Railroad Medicare Ptan
Medicare NSC0140580002NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL CAROLINA FOOT & ANKLE ASSOCIATION PA
Podiatrist (Foot & Ankle Surgery)
114 N NORWOOD ST
WALLACE, NC 28466
Duplin County (910) 285-3362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey B Pupp's NPI number?

The NPI number for Jeffrey B Pupp is 1275709677. It was assigned to this organization in the NPPES registry on May 6, 2008. The provider is doing business as Wallace Foot Center.

Where is Jeffrey B Pupp located?

Jeffrey B Pupp is located at 114 N Norwood St, Wallace, NC 28466. The listed phone number is (910) 285-3362.

What is Jeffrey B Pupp's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jeffrey B Pupp was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.