Richard L Childers, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0930 Issued in TX

Practice address

28590 Ih 10 West
Suite 3
Boerne, TX 78006

Phone

(830) 981-5150

Fax

(830) 981-5159

NPI assigned

Nov 7, 2005

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard C Adam DPM PA

  dba Associated Foot Specialists of San Antonio

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
  • NPI 1578763884
  NPD (past)
• Texas Premier Physical Therapy, LLC

  • Physical Therapist
  • San Antonio, TX
  • NPI 1558728659
  NPD (past)
• The Podiatry Group of South Texas, PA

  • Durable Medical Equipment & Medical Supplies
  • Fair Oaks Ranch, TX
  • NPI 1164523270

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1124009337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CALLAGHAN RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281106",
            "telephone_number": "210-227-8700",
            "fax_number": "210-348-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28590 IH 10 WEST",
            "address_2": "SUITE 3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-981-5150",
            "fax_number": "830-981-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8D1393",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130989007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Chamberlain, AU.D.
• Teagan Nichole Charles, MPAS, PA-C
• Charleston Boerne Operations, LLC (Carechoice of Boerne)
• Crystal Haydee Chavez, M.D.
• Lauren Alexandria Chavez
• Cibolo Counseling and Life Coaching
• Cibolo Creek Allergy PA
• Cibolo Creek Dermatology Group
• Cindabarrella Medical PLLC
• Katherine Martin Cirbo, PSYD

• Foot & Ankle Surgery Podiatrist in Boerne, TX
• Providers in Boerne, 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 Jun 10, 2021; 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.