Active NPI
Southwest Austin Foot & Ankle Clinic
- Primary Podiatric Medicine Podiatrist
- Dripping Springs, TX
National Provider Identifier
1023513751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- SOUTHWEST AUSTIN FOOT & ANKLE CLINIC
- Practice address
- 170 Benney Lane Ste 100
Dripping Springs, TX 78620 - Phone
- (512) 447-4122
- Fax
- (512) 727-0505
- NPI assigned
- Mar 26, 2018
- 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
- Mark Dee Whitesides, DPM
- Title
- Owner
- Phone
- (512) 447-4122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
170 Benney Lane Ste 100
Dripping Springs, TX 78620
Mailing address
5625 Eiger Rd Ste 110
Austin, TX 78735-8978
Phone (512) 447-4122
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522022400000",
"number": "1023513751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 EIGER RD STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358978",
"telephone_number": "512-447-4122",
"fax_number": "512-727-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 BENNEY LANE STE 100",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "78620",
"telephone_number": "512-447-4122",
"fax_number": "512-727-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST AUSTIN FOOT & ANKLE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A",
"authorized_official_last_name": "WHITESIDES",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-447-4122",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dripping Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.