Carlos a Dimidjian

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

TX0935 Issued in TX

Legal business name

CARLOS A DIMIDJIAN

Practice address

1608 W FM 700
Ste B
Big Spring, TX 79720-4113

Phone

(432) 267-1441

Fax

(432) 267-1442

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Carlos A Dimidjian, DPM

Title

Owner

Phone

(432) 267-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1255519229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W FM 700",
            "address_2": "STE B",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204113",
            "telephone_number": "432-267-1441",
            "fax_number": "432-267-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W FM 700",
            "address_2": "STE B",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204113",
            "telephone_number": "432-267-1441",
            "fax_number": "432-267-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A DIMIDJIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "DIMIDJIAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-267-1441",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "TX0935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110214703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.