Podiacare, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1913 Issued in TX

Legal business name

PODIACARE, LLC

Practice address

3415 Havenbrook Dr
1706
Kingwood, TX 77339-2617

Phone

(832) 258-3011

Fax

(281) 713-1136

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Christi Lee Greer, D.P.M.

Title

Owner

Phone

(832) 258-3011

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1326589797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6853",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773256853",
            "telephone_number": "832-258-3011",
            "fax_number": "281-713-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HAVENBROOK DR",
            "address_2": "1706",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392617",
            "telephone_number": "832-258-3011",
            "fax_number": "281-713-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-258-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548369168",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215221701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.