INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
NPI 1346594504
Podiatrist - Foot & Ankle Surgery in Supply, NC
NPI Status: Active since November 08, 2012
Contact Information
14 DOCTORS CIR
SUITE 2
SUPPLY, NC
ZIP 28462
Phone: (910) 755-6512
Fax: (910) 755-6548
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Podiatrist
- Foot & Ankle Surgery
- CLIA Number: 34D2291125
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-04-2025
About INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
This page provides the complete NPI Profile along with additional information for Instride Foot And Ankle Specialists, Pllc, a provider established in Supply, North Carolina operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1346594504 assigned on November 2012. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated August 2025. 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 Eldon Peters (Vice President)
- NPI
- 1346594504
- Provider Name
- INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
- Entity Type
- Organization
- Location Address
- 14 DOCTORS CIR SUITE 2 SUPPLY, NC 28462
- Location Phone
- (910) 755-6512
- Location Fax
- (910) 755-6548
- Mailing Address
- 1036 BRANCHVIEW DR STE 216 CONCORD, NC 28025
- Mailing Phone
- (704) 886-1918
- Mailing Fax
- (910) 755-6548
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2012
- Last Update Date
- 08-20-2025
- Code Navigator
Location Map
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 MULTIPLE 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.
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
- 34D2291125
- Facility Type
- Physician Office
- Certificate Effective Date
- October 05, 2023
- Certificate Expiration Date
- October 04, 2025
- Laboratory Director
- BRYAN TUTTLE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Instride Foot And Ankle Specialists, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 3 | 4 | 6 | 5 | 9 | 4 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 10 | 9 | 8 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 1 + 0 + 9 + 8 + 5 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1346594504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093719726 | SUSAN KADY WILSON M.D. Individual | Obstetrics & Gynecology | 14 DOCTORS CIR SUITE 5 SUPPLY, NC 28462 (910) 754-9166 |
| 1356345094 | LARRY LEE WILSON MD Individual | Obstetrics & Gynecology | 14 DOCTORS CIR SUITE 5 SUPPLY, NC 28462 (910) 754-9166 |
| 1902890874 | MR. LINDIAN J SWAIM JR. MD Individual | Obstetrics & Gynecology | 14 DOCTORS CIR SUITE 5 SUPPLY, NC 28462 (910) 754-9166 |
| 1861487332 | MR. ROBERT E HASSLER MD Individual | Obstetrics & Gynecology | 14 DOCTORS CIR SUITE 5 SUPPLY, NC 28462 (910) 754-9166 |
| 1134131584 | MRS. ALICIA HOPE TYNDALL FNP-BC Individual | Nurse Practitioner (Family) | 14 DOCTORS CIR SUITE 3 SUPPLY, NC 28462 (910) 754-7075 |
| 1790797108 | DR. JOANNE PECK MD Individual | Pediatrics | 14 DOCTORS CIR SUITE 3 SUPPLY, NC 28462 (910) 754-7075 |
| 1396874285 | BRUNSWICK FOOT & ANKLE SURGERY Organization | Clinic/Center (Podiatric) | 14 DOCTORS CIR SUITE 2 SUPPLY, NC 28462 (919) 751-9120 |
| 1669647111 | CATARACT CONSULTANTS PA Organization | Ophthalmology | 14 DOCTORS CIR SUITE 1 SUPPLY, NC 28462 (910) 256-4899 |
| 1255765095 | MRS. MARY BETH KOEHLER PNP-BC Individual | Nurse Practitioner (Pediatrics) | 14 DOCTORS CIR SUITE 3 SUPPLY, NC 28462 (910) 754-7075 |
| 1467425348 | DR. JOSEPH F KIBLER DPM Individual | Podiatrist (Primary Podiatric Medicine) | 14 DOCTORS CIR SUITE 2 SUPPLY, NC 28462 (910) 755-6512 |
| 1528058963 | NORTH CAROLINA PHYSICIAN NETWORK, INC. Organization | Obstetrics & Gynecology | 14 DOCTORS CIR SUITE 5 SUPPLY, NC 28462 (910) 754-9166 |
| 1750420428 | SHORE FUN PEDIATRICS Organization | Pediatrics | 14 DOCTORS CIR SUITE 3 SUPPLY, NC 28462 (910) 754-7075 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346594504, enumerated in the NPI registry as an "organization" on November 08, 2012
The provider is located at 14 Doctors Cir Suite 2 Supply, Nc 28462 and the phone number is (910) 755-6512
This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery
The provider's CLIA number is 34D2291125 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 08, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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