Maverick Foot and Ankle Specialists PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MAVERICK FOOT AND ANKLE SPECIALISTS PLLC

Practice address

1440 N Macarthur Blvd Ste 101
Irving, TX 75061-4401

Phone

(305) 332-1672

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Masoud Moradi, DPM

Title

Owner

Phone

(305) 332-1672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Puja Patel

  • Foot & Ankle Surgery Podiatrist
  • Irving, TX
  • NPI 1497337539
  Medicare reassignment Care Compare group NPD
• Larissa Rolim, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Irving, TX
  • NPI 1144678517
  Medicare reassignment Care Compare group NPD
• Peter C Kwong, MD1

  • Orthopaedic Surgery Physician
  • Bedford, TX
  • NPI 1508977851
  NPD (past)

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1306466909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N MACARTHUR BLVD STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N MACARTHUR BLVD STE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614401",
            "telephone_number": "305-332-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK FOOT AND ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-332-1672",
        "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": []
}

• Edwin Curtis Matthews, M.D.
• Tori Mattison
• Ashley Whitney Mault, SLPA
• Jim D Maurer, ATC, LAT
• Maverick & James Consulting PLLC
• Maxcare Diagnostics
• Samuel A Maxey, MD
• Maximum Medical Improvement, Inc
• Maximus Home Health Care, Inc
• Amanda Stevenson Maxwell, LCSW

• Foot & Ankle Surgery Podiatrist in Irving, TX
• Providers in Irving, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.