NPIMap

Organization Active NPI

Ambulatory Foot Care

  • Primary Podiatric Medicine Podiatrist
  • Lancaster, TX
National Provider Identifier
1427119262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1513 Issued in TX
Legal business name
AMBULATORY FOOT CARE
Practice address
2700 W Pleasant Run Rd
360
Lancaster, TX 75146-1079
Phone
(972) 230-1307
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shannono Gallentine, DPM
Title
President
Phone
(972) 230-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1513 TX Primary

Addresses

Primary practice location

2700 W Pleasant Run Rd
360
Lancaster, TX 75146-1079

Mailing address

2700 W Pleasant Run Rd
360
Lancaster, TX 75146-1079
Phone (972) 230-1307

National Provider Directory

National Provider Directory

Locations

2700 W Pleasant Run Rd
Ste 360
Lancaster, TX 75146
Phone (972) 230-1307

Practitioners & affiliated clinicians

Practitioners 7

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427119262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W PLEASANT RUN RD",
            "address_2": "360",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461079",
            "telephone_number": "972-230-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W PLEASANT RUN RD",
            "address_2": "360",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461079",
            "telephone_number": "972-230-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLENTINE",
        "authorized_official_first_name": "SHANNONO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-230-1307",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.