Organization Active NPI

Podiatry Clinics of Texas

  • Podiatrist
  • Dallas, TX
National Provider Identifier
1124804034
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY CLINICS OF TEXAS
Practice address
8 Medical Pkwy Ste 202
Dallas, TX 75234-7842
Phone
(817) 800-8380
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Silas Odanga Salano, DPMNPI 1598004061
Title
Owner
Phone
(817) 939-2446

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 SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

8 Medical Pkwy Ste 202
Dallas, TX 75234-7842

Mailing address

4202 Spring Lake Pkwy
Mansfield, TX 76063-5861
Phone (817) 800-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205002274 TX Part B Supplier - Clinic/Group Practice 4880037084 Receives reassigned benefits from 3 practitioners
Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Locations

8 Medical Pkwy
Dallas, TX 75234
Phone (972) 247-1000

Practitioners & affiliated clinicians

Practitioners 3

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": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1124804034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 SPRING LAKE PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635861",
            "telephone_number": "817-800-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347842",
            "telephone_number": "817-800-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CLINICS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SALANO",
        "authorized_official_first_name": "SILAS",
        "authorized_official_middle_name": "ODANGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-939-2446",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "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 Sep 6, 2023; 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.