Active NPI
Texas Podiatry Services PLLC
- Foot & Ankle Surgery Podiatrist
- Dallas, TX
National Provider Identifier
1295295947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- TEXAS PODIATRY SERVICES PLLC
- Practice address
- 1400 Hi Line Dr Apt 2015
Dallas, TX 75207-3451 - Phone
- (469) 479-3333
- NPI assigned
- Mar 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Duran, DPM
- Title
- Owner
- Phone
- (469) 479-3333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1400 Hi Line Dr Apt 2015
Dallas, TX 75207-3451
Mailing address
1400 Hi Line Dr Apt 907
Dallas, TX 75207-3426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190501000462 | TX | Part B Supplier - Clinic/Group Practice | 3173865755 |
Receives reassigned benefits from 1 practitioner Practice locations: Dallas, TX |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1553040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1295295947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HI LINE DR APT 907",
"city": "DALLAS",
"state": "TX",
"postal_code": "752073426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HI LINE DR APT 2015",
"city": "DALLAS",
"state": "TX",
"postal_code": "752073451",
"telephone_number": "469-479-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS PODIATRY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-20",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-479-3333",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.