Organization Active NPI

Kevin D. Rhodes, DPM

  • Podiatrist
  • Fort Worth, TX
National Provider Identifier
1124263512
Registry record updated Dec 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1256 Issued in TX
Legal business name
KEVIN D. RHODES, DPM
Practice address
750 North Fwy
Fort Worth, TX 76102-1722
Phone
(817) 391-0130
Fax
(817) 391-0136
NPI assigned
Dec 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2008

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

Authorized official

Name
Blanca E Williams
Title
Director
Phone
(817) 391-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1256 TX Primary

Addresses

Primary practice location

750 North Fwy
Fort Worth, TX 76102-1722

Mailing address

8500 Viridian LN
Fort Worth, TX 76123-2937
Phone (817) 391-0130

National Provider Directory

National Provider Directory

Locations

750 North Fwy
Fort Worth, TX 76102
Phone (817) 625-8818

NPI Registry JSON

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229126400000",
    "number": "1124263512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 VIRIDIAN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232937",
            "telephone_number": "817-391-0130",
            "fax_number": "817-391-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NORTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761021722",
            "telephone_number": "817-391-0130",
            "fax_number": "817-391-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN D. RHODES, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-13",
        "last_updated": "2008-12-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-391-0130"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1256",
            "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 Dec 13, 2008; 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.