NPIMap

Organization Active NPI

Texas Family Footcare PA

  • Podiatrist
  • Frisco, TX
National Provider Identifier
1164602157
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1481 Issued in TX
Legal business name
TEXAS FAMILY FOOTCARE PA
Practice address
5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4062
Phone
(972) 712-4161
Fax
(972) 412-4289
NPI assigned
Nov 7, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. David Anthony Andreone, DPM
Title
Owner
Phone
(972) 712-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1481 TX Primary

Addresses

Primary practice location

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4062

Mailing address

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4062
Phone (972) 712-4161

Other identifiers 1

IdentifierTypeStateIssuer
0055KGOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1164602157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY",
            "address_2": "SUITE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344062",
            "telephone_number": "972-712-4161",
            "fax_number": "972-412-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY",
            "address_2": "SUITE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344062",
            "telephone_number": "972-712-4161",
            "fax_number": "972-412-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAMILY FOOTCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ANDREONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-712-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0055KG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.