Organization Active NPI

Access Podiatry Center, LLC

  • Podiatrist
  • Crystal City, TX
National Provider Identifier
1225688583
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ACCESS PODIATRY CENTER, LLC
Practice address
402 E Zavala St Ste 3
Crystal City, TX 78839-3337
Phone
(830) 448-5188
Fax
(830) 768-9248
NPI assigned
Sep 18, 2019
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Mr. Michael W Cannon, D.P.M.NPI 1922494673
Title
Podiatrist
Phone
(830) 448-5188

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

402 E Zavala St Ste 3
Crystal City, TX 78839-3337

Mailing address

402 E Zavala St Ste 3
Crystal City, TX 78839-3337
Phone (830) 448-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225002259 TX Part B Supplier - Clinic/Group Practice 5799112132 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Crystal City, TX; Eagle Pass, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

504 Hospital Dr
Ste B
Carrizo Springs, TX 78834
Phone (830) 876-9458

402 E Zavala St
Crystal City, TX 78839
Phone (210) 860-3685

402 E Zavala St
Ste 3
Crystal City, TX 78839
Phone (830) 448-5188

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": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1225688583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E ZAVALA ST STE 3",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393337",
            "telephone_number": "830-448-5188",
            "fax_number": "830-768-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E ZAVALA ST STE 3",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393337",
            "telephone_number": "830-448-5188",
            "fax_number": "830-768-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS PODIATRY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "830-448-5188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.