Organization Active NPI

Interventional Partners, LLC

  • Podiatrist
  • Mesquite, TX
National Provider Identifier
1407410509
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
INTERVENTIONAL PARTNERS, LLC
Practice address
1675 Republic Pkwy Ste 101
Mesquite, TX 75150-6902
Phone
(972) 318-9048
Fax
(972) 270-7759
NPI assigned
Apr 24, 2019
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Jaryd Stein, MD
Title
Owner / Chief Executive Director
Phone
(213) 392-4976

Specialties & licenses 1

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

Addresses

Primary practice location

1675 Republic Pkwy Ste 101
Mesquite, TX 75150-6902

Mailing address

8135 Forest LN # 51507
Dallas, TX 75230-2472
Phone (469) 850-5760

Other identifiers 1

IdentifierTypeStateIssuer
7736730014OtherTXNSC DME SUPPLIER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.miller@stridecare.com

National Provider Directory

National Provider Directory

Locations

8135 Forest Ln
#51507
Dallas, TX 75230

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1407410509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 51507",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760",
            "fax_number": "469-716-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "972-318-9048",
            "fax_number": "972-270-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JARYD",
        "authorized_official_title_or_position": "OWNER / CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-392-4976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC DME SUPPLIER",
            "identifier": "7736730014",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.miller@stridecare.com",
            "affiliation": "N",
            "address_1": "1675 Republic Pkwy Ste 101",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751506902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.