Active NPI
North Texas Foot and Ankle, PA
- Durable Medical Equipment & Medical Supplies
- Garland, TX
National Provider Identifier
1093924433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168695801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Primary Podiatric Medicine Podiatrist
- Dallas, TX
- NPI 1770665168
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
- North Garland Dental & Orthodontics
- North Garland Family Dental Inc
- North Garland Surgery Center LLP (Baylor Scott & White Surgicare - North Garland)
- North Star Foot and Ankle Associates, PA
- North Texas Family and Cosmetic Dentistry
- North Texas Home Health Agency
- North Texas Physician Associates, PLLC
- North Texas Rainbow Pediatrics PLLC
- North Texas Whole Health PC (Whole Health Chiropractic)
- Northeast Metroplex Orthopedic Associates (Orthopedic & Sports Medicine)
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.