Individual provider Active NPI

Joseph Agyen Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1316470461
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3055 Issued in TX
Practice address
3801 Gaston Ave Ste 330
Dallas, TX 75246-1500
Phone
(214) 824-3851
Fax
(214) 824-3852
NPI assigned
Apr 5, 2017
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 3055 TX Primary

Addresses

Primary practice location

3801 Gaston Ave Ste 330
Dallas, TX 75246-1500

Mailing address

3801 Gaston Ave Ste 330
Dallas, TX 75246-1500
Phone (214) 824-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909000202 TX Practitioner - Podiatry 3971921842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph L Yeargain DPM PLLCGroup PAC ID 9436466323, 4 clinicians

Practice addresses (Care Compare)

3801 Gaston Ave
Suite 330
Dallas, TX 75246-1500
Phone (214) 824-3851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of skin lesions79
Removal of nail tissue236
Removal or shaving of skin growth155
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph L Yeargain DPM PLLC Foot & Ankle Surgery CurrentSince Aug 3, 2020 Accepting new patients
Joseph L Yeargain DPM PLLC Foot & Ankle Surgery CurrentSince Aug 3, 2020 Accepting new patients

Locations

1411 N Beckley Ave
Ste 456
Dallas, TX 75203
Phone (214) 824-3851

3801 Gaston Ave
Ste 330
Dallas, TX 75246
Phone (214) 824-3851

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1316470461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461500",
            "telephone_number": "214-824-3851",
            "fax_number": "214-824-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461500",
            "telephone_number": "214-824-3851",
            "fax_number": "214-824-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.