Organization Active NPI

Ben W. Lam, D.P.M., P.C.

  • Foot Surgery Podiatrist
  • Wichita Falls, TX
National Provider Identifier
1174622260
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0642 Issued in TX
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

Updated by the provider on Apr 29, 2011

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
219114001MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.