Individual provider Active NPI

Mary Elizabeth Crane, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grapevine, TX
National Provider Identifier
1184621732
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1379 Issued in TX
Practice address
2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-3928
Phone
(817) 416-6155
Fax
(817) 329-9434
NPI assigned
Jun 28, 2005
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1379 TX Primary

Addresses

Primary practice location

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-3928

Mailing address

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-3928
Phone (817) 416-6155

Other identifiers 1

IdentifierTypeStateIssuer
8A2505OtherTXBCBS

Other names 1

  • Marybeth Crane Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000223 TX Practitioner - Podiatry 7810957560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates of North Texas, LLP Foot & Ankle Surgery CurrentSince Jan 1, 2003 Accepting new patients
Foot and Ankle Associates of North Texas, LLP Foot & Ankle Surgery CurrentSince Jan 1, 2003 Accepting new patients

Locations

230 N Park Blvd
Ste 106
Grapevine, TX 76051
Phone (817) 416-6155

2421 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 416-6155

816 Keller Pkwy
#101
Keller, TX 76248
Phone (817) 416-6155

500 N Valley Pkwy
Ste 100
Lewisville, TX 75067
Phone (972) 219-3338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: marybeth.crane@faaaontl-tx.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1184621732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513928",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513928",
            "telephone_number": "817-416-6155",
            "fax_number": "817-329-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A2505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYBETH",
            "last_name": "CRANE",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.