Organization Active NPI

Ray W NG DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Terrell, TX
National Provider Identifier
1134485311
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1070 Issued in TX
Legal business name
RAY W NG DPM PA
Practice address
1880 W Moore Ave
Ste 3
Terrell, TX 75160-2350
Phone
(972) 524-3668
Fax
(972) 563-2294
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Ray W NG, DPMNPI 1407860430
Title
Owner
Phone
(972) 524-3668

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1070 TX Primary

Addresses

Primary practice location

1880 W Moore Ave
Ste 3
Terrell, TX 75160-2350

Mailing address

1880 West Moore
Ste 3
Terrell, TX 75160-2365
Phone (972) 524-3668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000078 TX Part B Supplier - Clinic/Group Practice 6800057100 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX; Terrell, TX

National Provider Directory

National Provider Directory
Tax ID family
Ray W NG DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

112 N Adelaide St
Terrell, TX 75160
Phone (972) 563-2288

1880 W Moore Ave
Ste 3
Terrell, TX 75160
Phone (972) 524-3668

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": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1134485311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 WEST MOORE",
            "address_2": "STE 3",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602365",
            "telephone_number": "972-524-3668",
            "fax_number": "972-563-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W MOORE AVE",
            "address_2": "STE 3",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602350",
            "telephone_number": "972-524-3668",
            "fax_number": "972-563-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY W NG DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-524-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.