Active NPI
Jon E Nathanson, DPM
- Foot Surgery Podiatrist
- Dallas, TX
National Provider Identifier
1164571360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 1027
- Practice address
- 810 N Zang Blvd
Dallas, TX 75208-4233 - Phone
- (214) 941-4243
- Fax
- (214) 941-1153
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 1027 | TX | Primary |
Addresses
Primary practice location
810 N Zang Blvd
Dallas, TX 75208-4233
Mailing address
14691 Kelmscot Dr
Frisco, TX 75035-7291
Phone (214) 691-0760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K6747 | Other | TX | MEDICARE INDIVIDUAL PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027 | TX | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Podiatry of El Paso PC | Past | Accepting new patients | |
| Foot & Ankle Podiatry of Texas PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- El Paso, TX
- NPI 1861877870
-
- Primary Podiatric Medicine Podiatrist
- El Paso, TX
- NPI 1609918697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1164571360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14691 KELMSCOT DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357291",
"telephone_number": "214-691-0760",
"fax_number": "214-691-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N ZANG BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084233",
"telephone_number": "214-941-4243",
"fax_number": "214-941-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANSON",
"first_name": "JON",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "1027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "8K6747",
"state": "TX"
}
],
"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 Jun 20, 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.