Active NPI
Advance Foot Center
- Podiatric Clinic/Center
- Dallas, TX
National Provider Identifier
1013239615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- DP1396
- 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 CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Nguyen-Khoa, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0927402-01 | Medicaid | TX |
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.
-
- Podiatrist
- Arlington, TX
- NPI 1215959556
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
- Adt Comprehensive Services PLLC
- Ifeoma Aduba, M.D
- Travis Carby Aduddell, DDS
- Sarah Aduku
- Adult Ultimate Daycare Center, Inc. (Ultimate Adult Daycare Center)
- Advancecare Texas, Inc. (AdvanceCare Dallas)
- Advanced Advantage Homecare Services LLC (Carerite Homecare Services)
- Advanced Care Provider, LLC
- Advanced Dallas Hospital & Clinics LLC
- Advanced Downtown Physical Therapy
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.