Fort Worth Foot Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FORT WORTH FOOT CLINIC

Practice address

4759 B South Freeway
Ft Worth, TX 76115

Phone

(817) 923-1953

Fax

(817) 923-9615

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Khanna, DPM

Title

Director

Phone

(817) 923-1953

Specialties & licenses 1

Addresses

Other names 1

• Fort Worth Med Ex Doing business as

Tax ID family

Fort Worth Foot Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Worth Foot Clinic

  • Podiatrist
  • Fort Worth, TX
  • NPI 1871677203
  NPD tax ID

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043394497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 B SOUTH FREEWAY",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-923-1953",
            "fax_number": "817-923-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 B SOUTH FREEWAY",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-923-1953",
            "fax_number": "817-923-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-923-1953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Worth Med Ex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Worth Eye Center PLLC
• Fort Worth Family Chiropractic
• Fort Worth Family Practice Associated
• Fort Worth Fertility
• Fort Worth Foot and Ankle, PLLC
• Fort Worth Foot Clinic
• Fort Worth Hand Center
• Fort Worth Head Neck and Jaw PLLC
• Fort Worth Health Alliance, LLC
• Fort Worth Health Rejuvenation

• Durable Medical Equipment & Medical Supplies in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.