Organization Active NPI

Highlands Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Waco, TX
National Provider Identifier
1184078479
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2222 Issued in TX
Legal business name
HIGHLANDS FOOT & ANKLE
Practice address
2524 Washington Ave
Waco, TX 76710-7447
Phone
(254) 300-7703
Fax
(254) 300-7709
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
David C Sappington, DPMNPI 1447296843
Title
Medical Director
Phone
(254) 300-7703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2222 TX Primary
Podiatric Clinic/Center 261QP1100X 2222 TX
Durable Medical Equipment & Medical Supplies 332B00000X 2222 TX

Addresses

Primary practice location

2524 Washington Ave
Waco, TX 76710-7447

Mailing address

2524 Washington Ave
Waco, TX 76710-7447
Phone (804) 484-4061

Other identifiers 10

IdentifierTypeStateIssuer
APPROVEDPENDINGOtherTXDMERC
3647661-04MedicaidTX
PENDINGOtherTXSUPERIOR HEALTH
00E4Z4OtherTXBCBS TX
8FX246OtherTXBCBS TX
1184078479OtherTXCIGNA
1447296843OtherTXSCOTT & WHITE
3647661-03MedicaidTX
PENDINGOtherTXUNITED HEALTH CARE
1184078479OtherTXSCOTT & WHITE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160819000227 TX Part B Supplier - Clinic/Group Practice 6204121981 Receives reassigned benefits from 2 practitioners
Practice locations: Waco, TX
O20170605000057 TX DME Supplier - Physician - Podiatry 6204121981 Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17357/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1184078479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 WASHINGTON AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107447",
            "telephone_number": "804-484-4061",
            "fax_number": "254-313-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 WASHINGTON AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107447",
            "telephone_number": "254-300-7703",
            "fax_number": "254-300-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "SAPPINGTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "254-300-7703",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2222",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "2222",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "2222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "APPROVEDPENDING",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3647661-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH",
            "identifier": "PENDING",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "00E4Z4",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8FX246",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1184078479",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "1447296843",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3647661-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "PENDING",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "1184078479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.