Active NPI
Comfort Podiatry, PA
- Primary Podiatric Medicine Podiatrist
- Dallas, TX
National Provider Identifier
1306022595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- COMFORT PODIATRY, PA
- Practice address
- 1151 N Buckner Blvd Ste 304
Professional
Dallas, TX 75218-3405 - Phone
- (214) 398-1234
- Fax
- (214) 398-1386
- NPI assigned
- Jan 17, 2008
- 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
- Mrs. Lucy Scott
- Title
- Office Manager
- Phone
- (214) 398-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
1151 N Buckner Blvd Ste 304
Professional
Dallas, TX 75218-3405
Mailing address
1151 N Buckner Blvd Ste 304
Professional BLDG. 1
Dallas, TX 75218-3405
Phone (214) 398-1234
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO6641 | Other | TX | RAIL ROAD MEDICARE GROUP PTAN |
| 0034NC | Other | TX | BCBS |
| 176120701 | Medicaid | TX |
Other names 1
- COMFORT PODIATRY, PA
National Provider Directory
National Provider DirectoryLocations
8228 Bruton Rd
Dallas, TX 75217
Phone (214) 398-1234
Interoperability endpoints
- https://api.platform.athenahealth.com/14617/brand/2/csg/21/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280880000000",
"number": "1306022595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N BUCKNER BLVD STE 304",
"address_2": "PROFESSIONAL BLDG. 1",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183405",
"telephone_number": "214-398-1234",
"fax_number": "214-398-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N BUCKNER BLVD STE 304",
"address_2": "PROFESSIONAL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183405",
"telephone_number": "214-398-1234",
"fax_number": "214-398-1386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT PODIATRY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2010-08-04",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "LUCY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "214-398-1234",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE GROUP PTAN",
"identifier": "DO6641",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0034NC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176120701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMFORT PODIATRY, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.