Active NPI
Advanced Foot and Ankle Specialist of Texas PLLC
- Podiatrist
- Richmond, TX
National Provider Identifier
1104381714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- ADVANCED FOOT AND ANKLE SPECIALIST OF TEXAS PLLC
- Practice address
- 8919 Cypress Shrub TRL
Richmond, TX 77407-2007 - Phone
- (917) 365-1935
- NPI assigned
- Feb 7, 2019
- 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. Christine Nguyen, DPM
- Title
- Doctor of Podiatric Medicine
- Phone
- (917) 365-1935
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Podiatric Clinic/Center | 261QP1100X |
Addresses
Primary practice location
8919 Cypress Shrub TRL
Richmond, TX 77407-2007
Mailing address
8919 Cypress Shrub TRL
Richmond, TX 77407-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396127767 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Sugar Land, TX
- NPI 1396127767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1104381714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8919 CYPRESS SHRUB TRL",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8919 CYPRESS SHRUB TRL",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072007",
"telephone_number": "917-365-1935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED FOOT AND ANKLE SPECIALIST OF TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-07",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
"authorized_official_telephone_number": "917-365-1935",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396127767",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.