Provider Demographics
NPI:1073750683
Name:ADES, JOE K (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:K
Last Name:ADES
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:143 JOE KNOX AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117
Mailing Address - Country:US
Mailing Address - Phone:704-662-3660
Mailing Address - Fax:704-662-3595
Practice Address - Street 1:143 JOE KNOX AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117
Practice Address - Country:US
Practice Address - Phone:704-662-3660
Practice Address - Fax:704-662-3595
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2010-06-29
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Provider Licenses
StateLicense IDTaxonomies
TN697213ES0103X
NC524213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3714470OtherGROUP NPI
NC2437005Medicare PIN