NPIMap

Organization Active NPI

Southwest Podiatry, LLP

  • Podiatrist
  • Carrollton, TX
National Provider Identifier
1336318229
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SOUTHWEST PODIATRY, LLP
Practice address
4333 N Josey LN
Plaza II Suite 102
Carrollton, TX 75010-4629
Phone
(972) 394-0825
Fax
(972) 394-0853
NPI assigned
Feb 25, 2008
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Donald R Blum, DPMNPI 1902885155
Title
Managing Partner, Southwest Podiatr
Phone
(972) 566-3808

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)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

4333 N Josey LN
Plaza II Suite 102
Carrollton, TX 75010-4629

Mailing address

18208 Preston Rd
Suite D-9 LB 112
Dallas, TX 75252-6007
Phone (972) 566-3808

National Provider Directory

National Provider Directory
Tax ID family
Southwest Podiatry LLP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1336318229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 PRESTON RD",
            "address_2": "SUITE D-9 LB 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526007",
            "telephone_number": "972-566-3808",
            "fax_number": "972-566-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "PLAZA II SUITE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-394-0825",
            "fax_number": "972-394-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PODIATRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER, SOUTHWEST PODIATR",
        "authorized_official_telephone_number": "972-566-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.