Organization Active NPI

East Texas Happy Feet Foot Clinic PC

  • Podiatrist
  • Longview, TX
National Provider Identifier
1174952600
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
EAST TEXAS HAPPY FEET FOOT CLINIC PC
Practice address
305 N 5TH St
Longview, TX 75601-6518
Phone
(903) 399-5506
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Misty D Baker, DPMNPI 1740273937
Title
Owner
Phone
(903) 399-5506

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

305 N 5TH St
Longview, TX 75601-6518

Mailing address

305 N 5TH St
Longview, TX 75601-6518
Phone (903) 399-5506

National Provider Directory

National Provider Directory

Locations

305 N 5th St
Longview, TX 75601
Phone (903) 399-5506

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1174952600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016518",
            "telephone_number": "903-399-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016518",
            "telephone_number": "903-399-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS HAPPY FEET FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-399-5506",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.