Organization Active NPI

North Texas Foot and Ankle, PA

  • Durable Medical Equipment & Medical Supplies
  • Garland, TX
National Provider Identifier
1093924433
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTH TEXAS FOOT AND ANKLE, PA
Practice address
2020 N Glenbrook Dr
Garland, TX 75040-4125
Phone
(972) 530-3000
Fax
(214) 369-6259
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Matthew James Hausenfluke, DPM
Title
Owner
Phone
(972) 530-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 1516 TX
Durable Medical Equipment & Medical Supplies 332B00000X 1516 TX
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary

Addresses

Primary practice location

2020 N Glenbrook Dr
Garland, TX 75040-4125

Mailing address

2020 N Glenbrook Dr
Garland, TX 75040-4125
Phone (972) 530-3000

Other identifiers 1

IdentifierTypeStateIssuer
168695801MedicaidTX

National Provider Directory

National Provider Directory

Locations

5510 Abrams Rd
Ste 103
Dallas, TX 75214
Phone (214) 306-3529

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1093924433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N GLENBROOK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404125",
            "telephone_number": "972-530-3000",
            "fax_number": "214-369-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N GLENBROOK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404125",
            "telephone_number": "972-530-3000",
            "fax_number": "214-369-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS FOOT AND ANKLE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "HAUSENFLUKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-530-3000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1516",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1516",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168695801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.