Organization Active NPI

Foot and Shoe, LLC

  • Foot & Ankle Surgery Podiatrist
  • Round Rock, TX
National Provider Identifier
1003176090
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1514 Issued in TX
Legal business name
FOOT AND SHOE, LLC
Practice address
7700 Cat Hollow Dr Ste 102
Round Rock, TX 78681-5797
Phone
(512) 733-8600
Fax
(512) 733-8602
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Douglas Jay Grimm, DPM
Title
Member
Phone
(512) 733-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1514 TX Primary

Addresses

Primary practice location

7700 Cat Hollow Dr Ste 102
Round Rock, TX 78681-5797

Mailing address

4000 Cloudy Ridge Rd
Austin, TX 78734-2043
Phone (512) 733-8600

National Provider Directory

National Provider Directory

Locations

7700 Cat Hollow Dr
Ste 102
Round Rock, TX 78681
Phone (512) 733-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1003176090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CLOUDY RIDGE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342043",
            "telephone_number": "512-733-8600",
            "fax_number": "512-733-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR STE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815797",
            "telephone_number": "512-733-8600",
            "fax_number": "512-733-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND SHOE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-733-8600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.