Organization Active NPI

Advance Foot Center

  • Podiatric Clinic/Center
  • Dallas, TX
National Provider Identifier
1013239615
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
DP1396 Issued in TX
Legal business name
ADVANCE FOOT CENTER
Practice address
2909 S. Hampton Road
Suite 122
Dallas, TX 75224
Phone
(877) 482-6407
Fax
(817) 701-1742
NPI assigned
Feb 23, 2010
Organization subpart
Yes
Parent organization
ADVANCE FOOT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Kevin Nguyen-Khoa, DPMNPI 1215959556
Title
President
Phone
(817) 265-1595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X DP1396 TX Primary

Addresses

Primary practice location

2909 S. Hampton Road
Suite 122
Dallas, TX 75224

Mailing address

1327 E. Pioneer Parkway
Arlington, TX 76010
Phone (817) 265-1595

Other identifiers 1

IdentifierTypeStateIssuer
0927402-01MedicaidTX

National Provider Directory

National Provider Directory
Part of
Kevin Q Nguyen-Khoa PLLC

Locations

2909 S Hampton Rd
Ste 122
Dallas, TX 75224
Phone (877) 482-6407

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": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1013239615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E. PIONEER PARKWAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-265-1595",
            "fax_number": "817-701-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S. HAMPTON ROAD",
            "address_2": "SUITE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "877-482-6407",
            "fax_number": "817-701-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FOOT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE FOOT CENTER",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-KHOA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-265-1595",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "DP1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927402-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.