Sandra E Cuellar DPM , P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1055 Issued in TX

Legal business name

SANDRA E CUELLAR DPM , P.C.

Practice address

5925 Forest LN
#116
Dallas, TX 75230-2712

Phone

(972) 991-1700

Fax

(800) 559-3847

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sandra E Cuellar, DPMNPI 1386755155

Title

President

Phone

(972) 991-1700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Park Cities Foot Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Sandra E Cuellar, DPM

  • Podiatrist
  • Dallas, TX
  • NPI 1386755155
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235174400000",
    "number": "1104098433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "#116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-991-1700",
            "fax_number": "800-559-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "#116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-991-1700",
            "fax_number": "800-559-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA E CUELLAR DPM , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2009-02-21",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-991-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018650401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T87030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Cities Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Sandoval, PA-C
• Gisela Guadalupe Sandoval, COTA
• Jennifer Sandoval
• Jessica Sandoval, BCBA
• Sal S Sandoval, MD
• Sandra Illum MD PLLC
• Sandra Z. Brothers, MD, PA
• Alexander Sands, MD
• Rachel Anne Sands, PA
• Christina Marie Sandwell, DO

• Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; 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.

Verify at the official NPI Registry.