Organization Active NPI

Trinity Foot Center, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Cedar Hill, TX
National Provider Identifier
1225003759
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRINITY FOOT CENTER, P.C.
Practice address
950 E Belt Line Rd
#110
Cedar Hill, TX 75104-2422
Phone
(972) 293-9650
Fax
(972) 291-2533
NPI assigned
Feb 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Lisa J Brandy, DPMNPI 1336115963
Title
Physician/Owner
Phone
(972) 293-9650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

950 E Belt Line Rd
#110
Cedar Hill, TX 75104-2422

Mailing address

445 E FM 1382
#3-111
Cedar Hill, TX 75104-6047
Phone (972) 293-9650

Other identifiers 2

IdentifierTypeStateIssuer
180277901MedicaidTX
0005NROtherTXBLUE SHIELD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060501000649 TX Part B Supplier - Clinic/Group Practice 9830109180 Receives reassigned benefits from 1 practitioner
Practice locations: Desoto, TX
O20100930030502 TX DME Supplier - Physician - Podiatry 9830109180 Practice locations: Desoto, TX

National Provider Directory

National Provider Directory

Locations

950 E Belt Line Rd
Ste 110
Cedar Hill, TX 75104
Phone (945) 212-3707

445 E FM 1382
#3111
Cedar Hill, TX 75104

7125 Marvin D Love Fwy
Ste 204
Dallas, TX 75237
Phone (972) 298-7000

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": "1140307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1225003759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E FM 1382",
            "address_2": "#3-111",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046047",
            "telephone_number": "972-293-9650",
            "fax_number": "972-291-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD",
            "address_2": "#110",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042422",
            "telephone_number": "972-293-9650",
            "fax_number": "972-291-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FOOT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BRANDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-293-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180277901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0005NR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.