Active NPI
Interventional Partners, LLC
- Podiatrist
- Mesquite, TX
National Provider Identifier
1407410509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7736730014 | Other | TX | NSC DME SUPPLIER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tracy.miller@stridecare.com |
National Provider Directory
National Provider DirectoryLocations
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.