Carlos A Dimidjian, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0935 Issued in TX

Practice address

1608 W FM 700
Ste B
Big Spring, TX 79720

Phone

(432) 267-1441

Fax

(432) 267-1442

NPI assigned

Jan 5, 2006

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdimidji@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Bend Medical Group

  dba Family Medical Center

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment NPD
• Carlos a Dimidjian

  • Foot Surgery Podiatrist
  • Big Spring, TX
  • NPI 1255519229
  Authorized official Same address or phone
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Regional Employee Assistance Program Inc

  • General Practice Physician
  • San Angelo, TX
  • NPI 1750302923
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1033197405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W FM 700",
            "address_2": "STE B",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "79720",
            "telephone_number": "432-267-1441",
            "fax_number": "432-267-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W FM 700",
            "address_2": "STE B",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "79720",
            "telephone_number": "432-267-1441",
            "fax_number": "432-267-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMIDJIAN",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "0935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110214703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sammy Wayne Dennard, P.T.
• Robert F. Desantis II, D.C.
• Lawrence Devolld, M.D.
• Charles Patrick Diaz, LMSW
• Angela Digby, RN
• Quyen Dinh, PHARMD
• Jenna DO
• Tabatha Maye Dominey, MA, LPC-ASSOCIATE
• Dora Roberts Rehabilitation Center
• Linda Jo Douglas, R.D., L.D.

• Foot Surgery Podiatrist in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.