NPIMap

Organization Active NPI

Diane M Phalen

  • Foot & Ankle Surgery Podiatrist
  • San Marcos, TX
National Provider Identifier
1467637405
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0992 Issued in TX
Legal business name
DIANE M PHALEN
Practice address
1305 Wonder World Dr
304
San Marcos, TX 78666-7546
Phone
(512) 396-0808
Fax
(512) 396-0804
NPI assigned
Jan 9, 2008
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Dr. Diane Marie Phalen, DPMNPI 1245249739
Title
Owner
Phone
(512) 396-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0992 TX Primary

Addresses

Primary practice location

1305 Wonder World Dr
304
San Marcos, TX 78666-7546

Mailing address

1305 Wonder World Dr
304
San Marcos, TX 78666-7546
Phone (512) 396-0808

Other names 1

  • San Marcos Foot and Ankle Clinic Other name

National Provider Directory

National Provider Directory

Locations

1305 Wonder World Dr
Ste 304
San Marcos, TX 78666
Phone (512) 396-0808

Practitioners & affiliated clinicians

Practitioners 1

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1467637405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "304",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-396-0808",
            "fax_number": "512-396-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "304",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-396-0808",
            "fax_number": "512-396-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE M PHALEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "PHALEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-396-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marcos Foot and Ankle Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.