Active NPI
Woodly Foot and Ankle Specialists PC
- Podiatrist
- Richland Hills, TX
National Provider Identifier
1174606149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1764
- Legal business name
- WOODLY FOOT AND ANKLE SPECIALISTS PC
- Practice address
- 7208 Glenview Dr
Richland Hills, TX 76180-8693 - Phone
- (817) 284-8271
- NPI assigned
- Oct 23, 2006
- Last updated
- Aug 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlton Woodly, DPM
- Title
- Owner
- Phone
- (817) 284-8271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1764 | TX | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1764 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1764 | TX | |
| Foot Surgery Podiatrist | 213ES0131X | 1764 | TX |
Addresses
Primary practice location
7208 Glenview Dr
Richland Hills, TX 76180-8693
Mailing address
7208 Glenview Dr
Richland Hills, TX 76180-8693
Phone (817) 284-8271
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1764 | Other | TX | LICENSE |
| 198417101 | Medicaid | TX | |
| 178674101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Podiatric Medicine Podiatrist
- Richland Hills, TX
- NPI 1609833268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1174606149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7208 GLENVIEW DR",
"city": "RICHLAND HILLS",
"state": "TX",
"postal_code": "761808693",
"telephone_number": "817-284-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7208 GLENVIEW DR",
"city": "RICHLAND HILLS",
"state": "TX",
"postal_code": "761808693",
"telephone_number": "817-284-8271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLY FOOT AND ANKLE SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "WOODLY",
"authorized_official_first_name": "CHARLTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-284-8271",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1764",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TX",
"license": "1764",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1764",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "1764",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1764",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198417101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178674101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland Hills, TX
- Sandy Samuel Varghese, M.D.
- Edward Vasquez, APRN AGACNP-BC
- Hieu Vu
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-6578)
- Willverns Palaces (Willverns Counseling and Consulting Services)
- Woodly Foot and Ankle Specialists PC (Woody Foot & Ankle Mobile)
- Woodly Foot and Ankle Specialists, PC
- Charlton Woodly, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.