Organization Active NPI

Advanced Foot Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1114485893
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ADVANCED FOOT SPECIALISTS, PLLC
Practice address
6029 Belt Line Rd
Dallas, TX 75254-9109
Phone
(214) 771-3668
NPI assigned
Mar 12, 2019
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Kamran Reza HussainNPI 1447555040
Title
Podiatrist
Phone
(817) 805-2324

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

6029 Belt Line Rd
Dallas, TX 75254-9109

Mailing address

201 E Interstate 30
Rockwall, TX 75087-5402

National Provider Directory

National Provider Directory

Locations

6029 Belt Line Rd
Dallas, TX 75254
Phone (214) 771-3668

201 E Interstate 30
Rockwall, TX 75087
Phone (214) 771-3668

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1114485893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E INTERSTATE 30",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549109",
            "telephone_number": "214-771-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "817-805-2324"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.