Active NPI
Paul L Valenza
- Podiatrist
- Kerrville, TX
National Provider Identifier
1104095645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0997
- Legal business name
- PAUL L VALENZA
- Practice address
- 316 W Water St
Kerrville, TX 78028-4242 - Phone
- (830) 895-7788
- Fax
- (830) 895-7794
- NPI assigned
- Feb 28, 2008
- Last updated
- Dec 14, 2010
- 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
- Dr. Paul Valenza, DPM
- Title
- Owner
- Phone
- (830) 895-7788
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0997 | TX | Primary |
Addresses
Primary practice location
316 W Water St
Kerrville, TX 78028-4242
Mailing address
316 W Water St
Kerrville, TX 78028-4242
Phone (830) 895-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930030407 | TX | DME Supplier - Physician - Podiatry | 1951429422 | Practice locations: Kerrville, TX |
National Provider Directory
National Provider DirectoryLocations
316 W Water St
Kerrville, TX 78028
Phone (830) 895-3733
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Podiatrist
- Kerrville, TX
- NPI 1083697080
-
- Family Medicine Physician
- Kerrville, TX
- NPI 1477551901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1104095645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W WATER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780284242",
"telephone_number": "830-895-7788",
"fax_number": "830-895-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W WATER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780284242",
"telephone_number": "830-895-7788",
"fax_number": "830-895-7794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL L VALENZA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "VALENZA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-895-7788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "0997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.