Organization Active NPI

Foot Specialist of Laredo Inc

  • Podiatrist
  • Laredo, TX
National Provider Identifier
1386194199
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2024 Issued in TX
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

Updated by the provider on Oct 5, 2016

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20161228001831 TX Part B Supplier - Clinic/Group Practice 3274814587 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.