Organization Active NPI

Stride Anew, PLLC

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1316494628
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2162 Issued in TX
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

Updated by the provider on Sep 2, 2016

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.