Organization Active NPI

Katy Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Katy, TX
National Provider Identifier
1467067603
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KATY FOOT & ANKLE PLLC
Practice address
24556 Kingsland Blvd
Katy, TX 77494
Phone
(281) 609-8100
Fax
(281) 574-3675
NPI assigned
Sep 14, 2020
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Nick Manriquez, DPM
Title
Owner
Phone
(281) 609-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

24556 Kingsland Blvd
Katy, TX 77494

Mailing address

24556 Kingsland Blvd
Katy, TX 77494
Phone (281) 609-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201006000921 TX Part B Supplier - Clinic/Group Practice 2264851500 Receives reassigned benefits from 2 practitioners
Practice locations: Sugarland, TX; Katy, TX
O20201204002464 TX DME Supplier - Physician - Podiatry 2264851500 Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

24556 Kingsland Blvd
Katy, TX 77494
Phone (281) 609-8100

6410 Highway 90A
Sugar Land, TX 77498
Phone (281) 609-8100

Practitioners & affiliated clinicians

Practitioners 2

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1467067603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24556 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-609-8100",
            "fax_number": "281-574-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24556 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-609-8100",
            "fax_number": "281-574-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MANRIQUEZ",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-609-8100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.