Organization Active NPI

Elite Footcare of Texas Inc.

  • Podiatrist
  • Missouri City, TX
National Provider Identifier
1376720565
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1563 Issued in TX
Legal business name
ELITE FOOTCARE OF TEXAS INC.
Practice address
4501 Cartwright Rd
Ste 208
Missouri City, TX 77459-3534
Phone
(832) 539-1620
Fax
(832) 539-1621
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Kurte Shepherd, D.P.M., M.S.I.S.NPI 1376501692
Title
Director 1
Phone
(281) 489-6594

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1563 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X 1563 TX

Addresses

Primary practice location

4501 Cartwright Rd
Ste 208
Missouri City, TX 77459-3534

Mailing address

10223 Broadway St
Ste. P246
Pearland, TX 77584-7880
Phone (281) 489-6594

Other identifiers 1

IdentifierTypeStateIssuer
1529075002MedicaidTX

National Provider Directory

National Provider Directory

Locations

4501 Cartwright Rd
Ste 208
Missouri City, TX 77459
Phone (832) 539-1620

10223 Broadway St
Ste P246
Pearland, TX 77584

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1376720565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "address_2": "STE. P246",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "281-489-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD",
            "address_2": "STE 208",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593534",
            "telephone_number": "832-539-1620",
            "fax_number": "832-539-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FOOTCARE OF TEXAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KURTE",
        "authorized_official_title_or_position": "DIRECTOR 1",
        "authorized_official_telephone_number": "281-489-6594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M., M.S.I.S."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1563",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529075002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.