Active NPI
Sandra E Cuellar, DPM
- Podiatrist
- Dallas, TX
National Provider Identifier
1386755155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1055
- Practice address
- 5925 Forest LN
#116
Dallas, TX 75230-2712 - Phone
- (972) 991-1700
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1055 | TX | Primary |
Addresses
Primary practice location
5925 Forest LN
#116
Dallas, TX 75230-2712
Mailing address
5925 Forest LN
#116
Dallas, TX 75230-2712
Phone (972) 991-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5925 Forest LN
Dallas, TX 75230-2791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra E Cuellar DPM , P.C. | Podiatrist | Current | Accepting new patients |
Locations
5925 Forest Ln
Ste 116
Dallas, TX 75230
Phone (972) 387-3666
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1386755155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 FOREST LN",
"address_2": "#116",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302712",
"telephone_number": "972-991-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 FOREST LN",
"address_2": "#116",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302712",
"telephone_number": "972-991-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUELLAR",
"first_name": "SANDRA",
"middle_name": "E",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.