Organization Active NPI

Footwear Consultants, Inc

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1245304385
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOTWEAR CONSULTANTS, INC
Practice address
6363 Forest Park Rd
Suite B-215
Dallas, TX 75235-5479
Phone
(214) 357-3535
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Raymond B Strasburg, CPED
Title
Owner
Phone
(214) 357-3535

Specialties & licenses 1

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

Addresses

Primary practice location

6363 Forest Park Rd
Suite B-215
Dallas, TX 75235-5479

Mailing address

6363 Forest Park Rd
Suite B-215
Dallas, TX 75235-5479
Phone (214) 357-3535

Other identifiers 1

IdentifierTypeStateIssuer
0870461-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

6363 Forest Park Rd
Ste 215B
Dallas, TX 75235
Phone (214) 357-3535

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1245304385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 FOREST PARK RD",
            "address_2": "SUITE B-215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355479",
            "telephone_number": "214-357-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FOREST PARK RD",
            "address_2": "SUITE B-215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355479",
            "telephone_number": "214-357-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTWEAR CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "STRASBURG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-357-3535",
        "authorized_official_credential": "CPED"
    },
    "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": "0870461-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.