Active NPI
Foot Specialist of Laredo Inc
- Podiatrist
- Laredo, TX
National Provider Identifier
1386194199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2024
- Legal business name
- FOOT SPECIALIST OF LAREDO INC
- Practice address
- 6999 McPherson Rd
Ste 107
Laredo, TX 78041-6449 - Phone
- (956) 722-7778
- NPI assigned
- Oct 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph M Quezada, D.P.M.
- Title
- President
- Phone
- (956) 722-7778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2024 | TX | Primary |
Addresses
Primary practice location
6999 McPherson Rd
Ste 107
Laredo, TX 78041-6449
Mailing address
6999 McPherson Rd
Ste 107
Laredo, TX 78041-6449
Phone (956) 722-7778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161228001831 | TX | Part B Supplier - Clinic/Group Practice | 3274814587 | Practice locations: Laredo, TX |
National Provider Directory
National Provider DirectoryLocations
7210 McPherson Rd
Ste 203
Laredo, TX 78041
Phone (956) 722-7778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475625600000",
"number": "1386194199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6999 MCPHERSON RD",
"address_2": "STE 107",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416449",
"telephone_number": "956-722-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6999 MCPHERSON RD",
"address_2": "STE 107",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416449",
"telephone_number": "956-722-7778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT SPECIALIST OF LAREDO INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A",
"authorized_official_last_name": "QUEZADA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-722-7778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "2024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.