Organization Active NPI

Arlington Mansfield Foot & Ankle Centers, PA

  • Podiatrist
  • Arlington, TX
National Provider Identifier
1356544118
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA
Practice address
400 W Arbrook Blvd
Ste 201
Arlington, TX 76014-3174
Phone
(817) 467-1990
Fax
(817) 466-8737
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Joe Taltson Southerland, DPM
Title
Podiatrist Owner
Phone
(817) 467-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

400 W Arbrook Blvd
Ste 201
Arlington, TX 76014-3174

Mailing address

400 W Arbrook Blvd
Ste 201
Arlington, TX 76014-3174
Phone (817) 467-1990

Other identifiers 1

IdentifierTypeStateIssuer
00T16EOtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1356544118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD",
            "address_2": "STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-467-1990",
            "fax_number": "817-466-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD",
            "address_2": "STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-467-1990",
            "fax_number": "817-466-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "TALTSON",
        "authorized_official_title_or_position": "PODIATRIST OWNER",
        "authorized_official_telephone_number": "817-467-1990",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00T16E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.