Organization Active NPI

David a. Andreone DPM PLLC

  • Podiatrist
  • Tyler, TX
National Provider Identifier
1205194263
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1481 Issued in TX
Legal business name
DAVID A. ANDREONE DPM PLLC
Practice address
921 Shiloh Road
Ste C110
Tyler, TX 75703-1406
Phone
(903) 595-2858
Fax
(903) 595-6970
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. David A Andreone, DPM
Title
Owner/Podiatrist
Phone
(903) 595-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1481 TX Primary

Addresses

Primary practice location

921 Shiloh Road
Ste C110
Tyler, TX 75703-1406

Mailing address

921 Shiloh Road
Ste C110
Tyler, TX 75703-1406
Phone (903) 595-2858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1205194263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHILOH ROAD",
            "address_2": "STE C110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031406",
            "telephone_number": "903-595-2858",
            "fax_number": "903-595-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SHILOH ROAD",
            "address_2": "STE C110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031406",
            "telephone_number": "903-595-2858",
            "fax_number": "903-595-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. ANDREONE DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "ANDREONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "903-595-2858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.