Active NPI
Ben W. Lam, D.P.M., P.C.
- Foot Surgery Podiatrist
- Wichita Falls, TX
National Provider Identifier
1174622260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0642
- Legal business name
- BEN W. LAM, D.P.M., P.C.
- Practice address
- 1702 Kell Blvd
Wichita Falls, TX 76301-5627 - Phone
- (940) 766-1292
- Fax
- (940) 723-1650
- NPI assigned
- Sep 22, 2006
- 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. Ben W. Lam, D.P.M.
- Title
- President
- Phone
- (940) 766-1292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0642 | TX | Primary |
Addresses
Primary practice location
1702 Kell Blvd
Wichita Falls, TX 76301-5627
Mailing address
1702 Kell Blvd
Wichita Falls, TX 76301-5627
Phone (940) 766-1292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219114001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1702 Kell Blvd
Wichita Falls, TX 76301
Phone (940) 696-8901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wichita Falls, TX
- NPI 1972068682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304035200000",
"number": "1174622260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 KELL BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015627",
"telephone_number": "940-766-1292",
"fax_number": "940-723-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 KELL BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015627",
"telephone_number": "940-766-1292",
"fax_number": "940-723-1650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEN W. LAM, D.P.M., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-04-29",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-766-1292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "0642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219114001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.