Active NPI
Edward T. McCaffrey, DPM
- Podiatrist
- Temple, TX
National Provider Identifier
1043206121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0584
- Practice address
- 1717 SW H K Dodgen Loop
Temple, TX 76502-1838 - Phone
- (254) 298-2682
- Fax
- (254) 778-7197
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0584 | TX | Primary |
Addresses
Primary practice location
1717 SW H K Dodgen Loop
Temple, TX 76502-1838
Mailing address
1905 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 298-2682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121556801 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0584 | TX | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1043206121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 SW H K DODGEN LOOP",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021814",
"telephone_number": "254-298-2682",
"fax_number": "254-778-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SW H K DODGEN LOOP",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021838",
"telephone_number": "254-298-2682",
"fax_number": "254-778-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAFFREY",
"first_name": "EDWARD",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121556801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.