Active NPI
Stride Anew, PLLC
- Podiatrist
- San Antonio, TX
National Provider Identifier
1316494628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2162
- Legal business name
- STRIDE ANEW, PLLC
- Practice address
- 13923 Evelina
San Antonio, TX 78253-4416 - Phone
- (210) 570-6523
- NPI assigned
- Sep 2, 2016
- 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
- Dr. Angeline D. Dy, DPM
- Title
- President/Podiatrist
- Phone
- (850) 420-3703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2162 | TX | Primary |
Addresses
Primary practice location
13923 Evelina
San Antonio, TX 78253-4416
Mailing address
10730 Potranco Rd
Suite 122-240
San Antonio, TX 78251-3327
Phone (210) 570-6523
National Provider Directory
National Provider DirectoryLocations
10730 Potranco Rd
Ste 122240
San Antonio, TX 78251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472774400000",
"number": "1316494628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 POTRANCO RD",
"address_2": "SUITE 122-240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782513327",
"telephone_number": "210-570-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13923 EVELINA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534416",
"telephone_number": "210-570-6523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIDE ANEW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A",
"authorized_official_last_name": "DY",
"authorized_official_first_name": "ANGELINE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT/PODIATRIST",
"authorized_official_telephone_number": "850-420-3703",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "2162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.