Active NPI
Total Foot and Ankle LLC
- Podiatrist
- Plano, TX
National Provider Identifier
1003467770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- TOTAL FOOT AND ANKLE LLC
- Practice address
- 6300 W Parker Rd Ste 425
Plano, TX 75093-8104 - Phone
- (972) 942-8080
- Fax
- (972) 759-9083
- NPI assigned
- Sep 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammie Marie Jackson
- Title
- Practice Manager
- Phone
- (214) 676-9392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
6300 W Parker Rd Ste 425
Plano, TX 75093-8104
Mailing address
6300 W Parker Rd Ste 425
Plano, TX 75093-8104
Phone (972) 942-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4122517 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Plano, TX
- NPI 1487919288
-
- Chiropractor
- Denton, TX
- NPI 1841375078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1003467770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 W PARKER RD STE 425",
"city": "PLANO",
"state": "TX",
"postal_code": "750938104",
"telephone_number": "972-942-8080",
"fax_number": "972-759-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 W PARKER RD STE 425",
"city": "PLANO",
"state": "TX",
"postal_code": "750938104",
"telephone_number": "972-942-8080",
"fax_number": "972-759-9083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL FOOT AND ANKLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-24",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TAMMIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "214-676-9392"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4122517",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.