Organization Active NPI

Foot Clinic of the High Plains PLLC

  • Podiatrist
  • Canyon, TX
National Provider Identifier
1396336129
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT CLINIC OF THE HIGH PLAINS PLLC
Practice address
2100 FM 2590 Ste 200
Canyon, TX 79015-1982
Phone
(806) 656-5006
Fax
(806) 656-5008
NPI assigned
Feb 3, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Michael Q Tran, DPMNPI 1811990021
Title
Owner
Phone
(806) 656-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218000320 TX Part B Supplier - Clinic/Group Practice 0941615280 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2100 FM 2590 Ste 200
Canyon, TX 79015-1982

Mailing address

2100 FM 2590 Ste 200
Canyon, TX 79015-1982
Phone (806) 656-5006

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL Nextgen

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2021.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1396336129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FM 2590 STE 200",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790151982",
            "telephone_number": "806-656-5006",
            "fax_number": "806-656-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FM 2590 STE 200",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790151982",
            "telephone_number": "806-656-5006",
            "fax_number": "806-656-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF THE HIGH PLAINS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-656-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nextgen",
            "affiliation": "N",
            "address_1": "2100 Fm 2590 Ste 200",
            "city": "Canyon",
            "state": "TX",
            "country_code": "US",
            "postal_code": "790151982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.