Active NPI
Kenneth Lynn James, DPM
- Podiatrist
- Fort Worth, TX
National Provider Identifier
1053426601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1022
- Practice address
- 1712 Pennsylvania Ave
Fort Worth, TX 76104 - Phone
- (817) 877-5781
- Fax
- (817) 877-5782
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1022 | TX | Primary |
Addresses
Primary practice location
1712 Pennsylvania Ave
Fort Worth, TX 76104
Mailing address
1712 Pennsylvania Ave
Fort Worth, TX 76104
Phone (817) 877-5781
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 |
|---|---|---|---|
| 1022 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorokolit Podiatry PLLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Fort Worth, TX
- NPI 1487001756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1053426601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76104",
"telephone_number": "817-877-5781",
"fax_number": "817-877-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76104",
"telephone_number": "817-877-5781",
"fax_number": "817-877-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "KENNETH",
"middle_name": "LYNN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.