CAROLINA FOOT & ANKLE OF HUNTERSVILLE, PC
NPI 1497376370
Podiatrist - Foot & Ankle Surgery in Charlotte, NC

NPI Status: Active since May 01, 2020

Contact Information

10310 COULOAK DR STE 200
CHARLOTTE, NC
ZIP 28216
Phone: (704) 971-4000
Fax: (704) 971-2379

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 34D2250168
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-24-2026

About CAROLINA FOOT & ANKLE OF HUNTERSVILLE, PC

This page provides the complete NPI Profile along with additional information for Carolina Foot & Ankle Of Huntersville, Pc, a provider established in Charlotte, North Carolina operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1497376370 assigned on May 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mark Alan Quist (Dpm)

NPI
1497376370
Provider Name
CAROLINA FOOT & ANKLE OF HUNTERSVILLE, PC
Entity Type
Organization
Location Address
10310 COULOAK DR STE 200 CHARLOTTE, NC 28216
Location Phone
(704) 971-4000
Location Fax
(704) 971-2379
Mailing Address
16419 NORTHCROSS DR STE A HUNTERSVILLE, NC 28078
Mailing Phone
(704) 987-9585
Mailing Fax
(704) 971-2379
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-01-2020
Last Update Date
05-01-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK ALAN QUIST

Authorized Official Title
DPM
Authorized Official Phone
(704) 987-9585

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2250168
Facility Type
Physician Office
Certificate Effective Date
January 25, 2024
Certificate Expiration Date
January 24, 2026
Laboratory Director
UMA PERIYANAYOGAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carolina Foot & Ankle Of Huntersville, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497376370
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241876712314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 7 + 1 + 2 + 3 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497376370 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497376370, enumerated as an "organization" on May 01, 2020.

The provider is located at 10310 COULOAK DR STE 200 CHARLOTTE, NC 28216 and the phone number is (704) 971-4000.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.