Organization Active NPI

Water Oak Foot and Ankle Surgery

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, TX
National Provider Identifier
1376217893
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WATER OAK FOOT AND ANKLE SURGERY
Practice address
2270 Matlock Rd Ste 104
Mansfield, TX 76063-3710
Phone
(325) 480-2063
Fax
(702) 514-6292
NPI assigned
Aug 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Matthew McCabe, DPMNPI 1235584004
Title
Owner
Phone
(325) 480-2063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2270 Matlock Rd Ste 104
Mansfield, TX 76063-3710

Mailing address

2270 Matlock Rd Ste 104
Mansfield, TX 76063-3710
Phone (325) 480-2063

Other practice location 1

1900 Matlock Rd Ste 304
Mansfield, TX 76063-4435
Phone (702) 630-1905

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1376217893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 MATLOCK RD STE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633710",
            "telephone_number": "325-480-2063",
            "fax_number": "702-514-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 MATLOCK RD STE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633710",
            "telephone_number": "325-480-2063",
            "fax_number": "702-514-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Matlock Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634435",
            "country_code": "US",
            "telephone_number": "702-630-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATER OAK FOOT AND ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-480-2063",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.