Divine Footcare Center Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1903 Issued in TX

Legal business name

DIVINE FOOTCARE CENTER INC

Practice address

2000 Esters Rd Ste 104
Suite 104
Irving, TX 75061-9580

Phone

(972) 790-2800

Fax

(972) 790-2803

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Celestina N Duru, D.P.MNPI 1215195664

Title

Podiatrist President

Phone

(972) 790-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Celestina Duru, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hurst, TX
  • NPI 1215195664
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1104150556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ESTERS RD STE 104",
            "address_2": "SUITE 104",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750619580",
            "telephone_number": "972-790-2800",
            "fax_number": "972-790-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ESTERS RD STE 104",
            "address_2": "SUITE 104",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750619580",
            "telephone_number": "972-790-2800",
            "fax_number": "972-790-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FOOTCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "CELESTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PODIATRIST PRESIDENT",
        "authorized_official_telephone_number": "972-790-2800",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Larae Dishman, CNM
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• Diana S. Divanji, M.D.
• Divicare Home Healthcare Services LLC
• Divine Mercy Home Health, Inc.
• Felicia Dixon, RN
• Sydney Marie Dixon, MS
• DND Dental PLLC
• DO Not Use

• Foot & Ankle Surgery Podiatrist in Irving, TX
• Providers in Irving, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.