Organization Active NPI

At Home Foot Care PLLC

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1427328046
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
AT HOME FOOT CARE PLLC
Practice address
1314 E Sonterra Blvd
San Antonio, TX 78258-4278
Phone
(210) 852-2427
Fax
(210) 598-7278
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Dr. Jason Edward Mireles, DPMNPI 1255386736
Title
Owner
Phone
(210) 710-7547

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1314 E Sonterra Blvd
San Antonio, TX 78258-4278

Mailing address

14726 Hidden Glen Woods
San Antonio, TX 78249-1466
Phone (210) 852-2427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000393 TX Part B Supplier - Clinic/Group Practice 5193989143 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

8601 Village Dr
Ste 210
San Antonio, TX 78217
Phone (210) 654-8700

4118 McCullough Ave
Ste 22
San Antonio, TX 78212
Phone (210) 852-2427

1314 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 393-3936

1380 Pantheon Way
Ste 150
San Antonio, TX 78232
Phone (210) 317-8520

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1427328046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 HIDDEN GLEN WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491466",
            "telephone_number": "210-852-2427",
            "fax_number": "210-598-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584278",
            "telephone_number": "210-852-2427",
            "fax_number": "210-598-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME FOOT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-710-7547",
        "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": [],
    "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 Mar 24, 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.