NPIMap

Individual provider Active NPI

Karen Wasserman, DPM

  • Primary Podiatric Medicine Podiatrist
  • Dallas, TX
National Provider Identifier
1386642759
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0822 Issued in TX
Practice address
5925 Forest LN Ste 301
Dallas, TX 75230-2772
Phone
(214) 350-1311
Fax
(214) 350-1318
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0822 TX
Primary Podiatric Medicine Podiatrist 213EP1101X 0822 TX Primary

Addresses

Primary practice location

5925 Forest LN Ste 301
Dallas, TX 75230-2772

Mailing address

5925 Forest LN Ste 301
Dallas, TX 75230-2772
Phone (214) 350-3111

Other practice location 1

12817 Preston Rd Ste 124
Dallas, TX 75230-7206
Phone (214) 350-1311

Other identifiers 2

IdentifierTypeStateIssuer
0822OtherTXTX LICENSE
2654990001OtherPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL practicefusion Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
822TXMDProfessional Counselor
0822TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brunett Healthcare,Inc Past Accepting new patients
Rose Street Mental Health Care, LLP Past Accepting new patients
Brittain & Associates Inc Past Accepting new patients
Vericare, P.C. Past Accepting new patients
Nexion Health at Bogata, Inc. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1386642759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302772",
            "telephone_number": "214-350-3111",
            "fax_number": "214-350-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302772",
            "telephone_number": "214-350-1311",
            "fax_number": "214-350-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12817 Preston Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752307206",
            "country_code": "US",
            "telephone_number": "214-350-1311",
            "fax_number": "214-350-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0822",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "0822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX  LICENSE",
            "identifier": "0822",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2654990001",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "practicefusion",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice soap notes",
            "address_1": "5925 Forest Ln Ste 301",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.