Complete Foot and Ankle Care of North Texas, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA

Practice address

3319 Unicorn Lake Blvd
Suite 111
Denton, TX 76210-0121

Phone

(940) 300-3054

Fax

(940) 243-7780

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Katina Dionne Stone Butler

Title

Practice Administrator

Phone

(940) 300-3054

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Damien M Dauphinee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Denton, TX
  • NPI 1629075288
  Medicare reassignment Care Compare group NPD
• Raafae Mohammad Hussain, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Denton, TX
  • NPI 1326456955
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1003930231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 UNICORN LAKE BLVD",
            "address_2": "SUITE 111",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100121",
            "telephone_number": "940-300-3054",
            "fax_number": "940-243-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 UNICORN LAKE BLVD",
            "address_2": "SUITE 111",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100121",
            "telephone_number": "940-300-3054",
            "fax_number": "940-243-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "940-300-3054",
            "fax_number": "940-243-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "STONE BUTLER",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "940-300-3054"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020PS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4167587-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Combs, M.ED.
• Comfort Dental Denton
• Jennifer Dawn Comito, AG-ACNP
• Ella Commerce
• Compassion Companions, LLC
• Concentra Primary Care
• Concierge Infusion, LLC
• Desiree Alyssa Conde
• Gwendolyn Lee Conder-Hollandsworth
• Elizabeth Serrin Conley, NCC, LPC

• Podiatrist in Denton, TX
• Providers in Denton, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.