Individual provider Active NPI

Daniel J Weido, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rockwall, TX
National Provider Identifier
1497311377
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3163 Issued in TX
Practice address
3136 Horizon Rd Ste 100
Rockwall, TX 75032-7808
Phone
(972) 475-8914
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3163 TX Primary

Addresses

Primary practice location

3136 Horizon Rd Ste 100
Rockwall, TX 75032-7808

Mailing address

3136 Horizon Rd Ste 1003136
Rockwall, TX 75032-7807
Phone (972) 475-8914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915000036 TX Practitioner - Podiatry 9436534245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Pointe Orthopaedic Associates, PAGroup PAC ID 3072605468, 7 clinicians
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7808
Phone (972) 475-8914

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue49
Removal of skin lesions16
Removal of nail tissue52
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3163TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Pointe Orthopaedic Associates, PA CurrentSince May 26, 2022 Accepting new patients

Locations

4803 Wesley St
Greenville, TX 75401
Phone (903) 454-2246

4803 Wesley St
Ste 100
Greenville, TX 75401

874 Ed Hall Dr
Ste 106
Kaufman, TX 75142
Phone (469) 770-4061

1231 E Belt Line Rd
Ste 101
Richardson, TX 75081
Phone (469) 418-5425

3136 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (972) 475-8914

3136 Horizon Rd
Ste 1003136
Rockwall, TX 75032

Interoperability endpoints

  • Direct secure messaging: dweido@lportho.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1497311377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 HORIZON RD STE 1003136",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327807",
            "telephone_number": "972-475-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 HORIZON RD STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327808",
            "telephone_number": "972-475-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.