Active NPI
Warren Porter, DPM
- Foot & Ankle Surgery Podiatrist
- San Antonio, TX
National Provider Identifier
1225732076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 11919619
- Practice address
- 7703 Floyd Curl Dr # 7776
San Antonio, TX 78229-3901 - Phone
- (210) 567-5174
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 11919619 | TX | Primary |
Addresses
Primary practice location
7703 Floyd Curl Dr # 7776
San Antonio, TX 78229-3901
Mailing address
17970 NE 31St CT Apt 4213
Aventura, FL 33160-5005
Phone (801) 518-7419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17503 La Cantera
Suite 404
San Antonio, TX 78257
17503 La Cantera Pkwy
104 404
San Antonio, TX 78257-4000
28707 Lucille PL
Boerne, TX 78006-2686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11919619 | TX | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- wporter38390@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1225732076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17970 NE 31ST CT APT 4213",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605005",
"telephone_number": "801-518-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR # 7776",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-567-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "WARREN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "11919619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.