Organization Active NPI

South Alamo Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1417446642
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOUTH ALAMO FOOT & ANKLE PLLC
Practice address
102 Palo Alto Rd Ste 133
San Antonio, TX 78211-3792
Phone
(210) 923-9200
Fax
(210) 923-9202
NPI assigned
May 3, 2018
Last updated
May 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Kris Allen Ford, DPMNPI 1023269925
Title
Owner
Phone
(210) 227-8700

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

102 Palo Alto Rd Ste 133
San Antonio, TX 78211-3792

Mailing address

102 Palo Alto Rd Ste 133
San Antonio, TX 78211-3792
Phone (210) 923-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180604002943 TX Part B Supplier - Clinic/Group Practice 9133484629 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

102 Palo Alto Rd
Ste 133
San Antonio, TX 78211
Phone (210) 921-2011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18189/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1417446642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 133",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113792",
            "telephone_number": "210-923-9200",
            "fax_number": "210-923-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 133",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113792",
            "telephone_number": "210-923-9200",
            "fax_number": "210-923-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALAMO FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-227-8700",
        "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 San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.