NPIMap

Organization Active NPI

Glenn J Wilcox

  • Primary Podiatric Medicine Podiatrist
  • Dallas, TX
National Provider Identifier
1154725372
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1394 Issued in TX
Legal business name
GLENN J WILCOX
Practice address
3300 Douglas Ave
Ste B
Dallas, TX 75219-2723
Phone
(214) 526-3336
Fax
(214) 526-3337
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Glenn J Wilcox, DPMNPI 1659443935
Title
Owner
Phone
(214) 526-3336

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 1394 TX Primary

Addresses

Primary practice location

3300 Douglas Ave
Ste B
Dallas, TX 75219-2723

Mailing address

3300 Douglas Ave
Ste B
Dallas, TX 75219-2723
Phone (214) 526-3336

Other names 1

  • DALLAS FOOT CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

3300 Douglas Ave
Ste B
Dallas, TX 75219
Phone (214) 526-3336

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1154725372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 DOUGLAS AVE",
            "address_2": "STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192723",
            "telephone_number": "214-526-3336",
            "fax_number": "214-526-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 DOUGLAS AVE",
            "address_2": "STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192723",
            "telephone_number": "214-526-3336",
            "fax_number": "214-526-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN J WILCOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-526-3336",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALLAS FOOT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2014; 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.