Active NPI
Austin S. Reeves
- Podiatrist
- Texarkana, TX
National Provider Identifier
1316193170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 178
- Legal business name
- AUSTIN S. REEVES
- Practice address
- 4110 McKnight Rd
Texarkana, TX 75503-0921 - Phone
- (903) 223-6000
- Fax
- (903) 223-6016
- NPI assigned
- Aug 13, 2008
- Last updated
- Aug 13, 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
- Austin S. Reeves
- Title
- Podiatrist
- Phone
- (903) 223-6000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 178 | AR | Primary |
Addresses
Primary practice location
4110 McKnight Rd
Texarkana, TX 75503-0921
Mailing address
4110 McKnight Rd
Texarkana, TX 75503-0921
Phone (903) 223-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138703717 | Medicaid | AR |
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, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Texarkana, TX
- NPI 1962408674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1316193170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-223-6000",
"fax_number": "903-223-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-223-6000",
"fax_number": "903-223-6016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN S. REEVES",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "903-223-6000"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138703717",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.