NPIMap

Organization Active NPI

Woodly Foot and Ankle Specialists, PC

  • Primary Podiatric Medicine Podiatrist
  • Richland Hills, TX
National Provider Identifier
1073905519
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1764 Issued in TX
Legal business name
WOODLY FOOT AND ANKLE SPECIALISTS, PC
Practice address
7208 Glenview Dr
Richland Hills, TX 76180-8693
Phone
(817) 284-8271
Fax
(817) 284-2940
NPI assigned
Feb 20, 2015
Last updated
Feb 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Dr. Charlton Woodly, DPMNPI 1609833268
Title
Owner/Podiatrist
Phone
(682) 323-9205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1764 TX
Primary Podiatric Medicine Podiatrist 213EP1101X 1764 TX Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 1764 TX
Foot Surgery Podiatrist 213ES0131X 1464 TX

Addresses

Primary practice location

7208 Glenview Dr
Richland Hills, TX 76180-8693

Mailing address

5505 Milford Dr
Fort Worth, TX 76137-4972
Phone (682) 323-9306

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1073905519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 MILFORD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374972",
            "telephone_number": "682-323-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 GLENVIEW DR",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808693",
            "telephone_number": "817-284-8271",
            "fax_number": "817-284-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLY FOOT AND ANKLE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "WOODLY",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "682-323-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1764",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1764",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1764",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.