Individual provider Active NPI

Jose Escobedo Jr.

  • Pedorthist
  • McAllen, TX
National Provider Identifier
1033694633
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
C46789 Issued in TX
Practice address
5221 N 10TH St Suite 205
McAllen, TX 78504
Phone
(956) 457-2919
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X C46789 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

5221 N 10TH St Suite 205
McAllen, TX 78504

Mailing address

515 Moore Rd
Alamo, TX 78516
Phone (956) 457-2919

Other identifiers 1

IdentifierTypeStateIssuer
C46789MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C46789TXMDPedorthist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Footwear LLC Durable Medical Equipment & Medical Supplies Current Accepting new patients
Rite Fit Services LLC Durable Medical Equipment & Medical Supplies CurrentSince Dec 29, 2019 Accepting new patients

Locations

5221 N 10th St
Ste 205
McAllen, TX 78504
Phone (956) 322-8699

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1033694633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MOORE RD",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-457-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 N 10TH ST SUITE 205",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-457-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "JOSE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "TX",
            "license": "C46789",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C46789",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.