NPIMap

Organization Active NPI

W Douglas Boyd DPM PC

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1124263249
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00525 Issued in TX
Legal business name
W DOUGLAS BOYD DPM PC
Practice address
3221 Hulen St
Suite a
Fort Worth, TX 76107-6114
Phone
(817) 731-4279
Fax
(817) 731-0693
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Juretta K Wells
Title
Office MGR
Phone
(817) 731-4279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00525 TX Primary

Addresses

Primary practice location

3221 Hulen St
Suite a
Fort Worth, TX 76107-6114

Mailing address

3221 Hulen St
Suite a
Fort Worth, TX 76107-6114
Phone (817) 731-4279

National Provider Directory

National Provider Directory

Locations

3221 Hulen St
Ste A
Ft Worth, TX 76107
Phone (817) 731-4279

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1124263249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 HULEN ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076114",
            "telephone_number": "817-731-4279",
            "fax_number": "817-731-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 HULEN ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076114",
            "telephone_number": "817-731-4279",
            "fax_number": "817-731-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W DOUGLAS BOYD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JURETTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "817-731-4279"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "00525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.