Organization Active NPI

Trieu Foot Solutions LLC

  • Podiatrist
  • Live Oak, FL
National Provider Identifier
1124594403
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
TRIEU FOOT SOLUTIONS LLC
Practice address
609 5TH St SW
Live Oak, FL 32064-2216
Phone
(425) 274-6027
NPI assigned
Oct 15, 2018
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Dr. Trieu Dang, DPMNPI 1801204755
Title
Owner
Phone
(425) 274-6027

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
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

609 5TH St SW
Live Oak, FL 32064-2216

Mailing address

609 5TH St SW
Live Oak, FL 32064-2216
Phone (386) 219-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190403000692 FL Part B Supplier - Clinic/Group Practice 2163763004 Receives reassigned benefits from 1 practitioner
Practice locations: Mayo, FL; Palatka, FL; Live Oak, FL; Lake City, FL; Jacksonville, FL
O20190412001967 FL DME Supplier - Physician - Podiatry 2163763004 Practice locations: Live Oak, FL

National Provider Directory

National Provider Directory

Locations

4498 W US Highway 90
Lake City, FL 32055
Phone (352) 888-7246

609 5th St SW
Live Oak, FL 32064
Phone (386) 219-0171

609 5th St SW
Ste 4
Live Oak, FL 32064
Phone (352) 376-5112

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBGGBD

Practitioners & affiliated clinicians

Practitioners 1

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": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1124594403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 5TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642216",
            "telephone_number": "386-219-0171",
            "fax_number": "386-219-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642216",
            "telephone_number": "425-274-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIEU FOOT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "TRIEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-274-6027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.

Verify at the official NPI Registry.