Organization Active NPI

Richmond Premier Foot & Ankle Clinic PLLC

  • Foot & Ankle Surgery Podiatrist
  • Richmond, TX
National Provider Identifier
1396229837
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RICHMOND PREMIER FOOT & ANKLE CLINIC PLLC
Practice address
1601 Main St Ste 204
Richmond, TX 77469-3230
Phone
(832) 449-3520
Fax
(855) 398-4568
NPI assigned
Sep 20, 2018
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Seyi Jennifer Oteri, DPMNPI 1245658152
Title
Physician
Phone
(832) 449-3520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1601 Main St Ste 204
Richmond, TX 77469-3230

Mailing address

1601 Main St Ste 204
Richmond, TX 77469-3230
Phone (832) 449-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181113002875 TX Part B Supplier - Clinic/Group Practice 8527312370 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX
O20190708000605 TX DME Supplier - Physician - Podiatry 8527312370 Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

1000 Austin St
Richmond, TX 77469
Phone (718) 901-8652

5151 Meadow Ranch Pkwy
Ste 404
Richmond, TX 77407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1396229837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 204",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "832-449-3520",
            "fax_number": "855-398-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 204",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "832-449-3520",
            "fax_number": "855-398-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND PREMIER FOOT & ANKLE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "OTERI",
        "authorized_official_first_name": "SEYI",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-449-3520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.