Organization Active NPI

Carrollton Podiatrist PLLC

  • Podiatrist
  • Carrollton, TX
National Provider Identifier
1366091704
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CARROLLTON PODIATRIST PLLC
Practice address
3730 N Josey LN Ste 120
Carrollton, TX 75007-2439
Phone
(972) 492-4660
Fax
(972) 492-0488
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Deborah B Weinstein
Title
Office Manager
Phone
(972) 492-4660

Specialties & licenses 1

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

Addresses

Primary practice location

3730 N Josey LN Ste 120
Carrollton, TX 75007-2439

Mailing address

3730 N Josey LN Ste 120
Carrollton, TX 75007-2439
Phone (972) 492-4660

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Drweinstein@carrolltonpodiatrist.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029000344 TX Part B Supplier - Clinic/Group Practice 2769714575 Receives reassigned benefits from 2 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

3730 N Josey Ln
Ste 104
Carrollton, TX 75007
Phone (972) 492-0333

3730 N Josey Ln
Ste 120
Carrollton, TX 75007
Phone (972) 492-4660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1366091704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N JOSEY LN STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072439",
            "telephone_number": "972-492-4660",
            "fax_number": "972-492-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N JOSEY LN STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072439",
            "telephone_number": "972-492-4660",
            "fax_number": "972-492-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON PODIATRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-492-4660"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drweinstein@carrolltonpodiatrist.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "3730 N Josey Ln Ste 120",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750072439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.