Roanoke Foot & Ankle Institute, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ROANOKE FOOT & ANKLE INSTITUTE, PLLC

Practice address

351 W Byron Nelson Blvd
Suite 100
Roanoke, TX 76262

Phone

(817) 674-7494

Fax

(817) 674-7496

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Samantha Childers, DPMNPI 1790837425

Title

Managing Member

Phone

(415) 602-2048

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Roanoke Foot & Ankle Institute, PLLC

  dba North Central Texas Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Decatur, TX
  • NPI 1699382879

  4981032992

  Same PAC ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20589/brand/1/csg/1/fhir/r4

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Roanoke Foot & Ankle Institute, PLLC

  dba North Central Texas Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Decatur, TX
  • NPI 1699382879
  NPPES parent name

Practitioners 3

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

• Samantha Childers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Roanoke, TX
  • NPI 1790837425
  Medicare reassignment Care Compare group NPD Authorized official
• Ricky L. Childers, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Decatur, TX
  • NPI 1396855458
  Medicare reassignment Care Compare group NPD
• David Raj Chandra, DPM

  • Foot & Ankle Surgery Podiatrist
  • Decatur, TX
  • NPI 1689244766
  NPD

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1497399687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 N HIGHWAY 377 STE 303-151",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762629103",
            "telephone_number": "817-674-7494",
            "fax_number": "817-674-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W BYRON NELSON BLVD",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-674-7494",
            "fax_number": "817-674-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE FOOT & ANKLE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "415-602-2048",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.athena.com",
            "affiliation": "N",
            "address_1": "351 W Byron Nelson Blvd",
            "address_2": "Suite 100",
            "city": "Roanoke",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elena Riedo, PSY.D.
• Alejandra Cristina Rivas, DDS
• RLS Supermarkets LLC (Minyard Pharmacy #49)
• Roanoke Dental Group,PC (Roanoke Dental Group and Orthodontics)
• Roanoke Family Eyecare Center, PLLC
• Roanoke Vision Associates (Vision Source Trophy Club)
• Cheryl Ann Robinson, RD, LD
• Sara Robison, DMD
• Diana Alejandra Rojas, ELECTROLOGIST/ AEST
• Olena Romenska, M.D.

• Foot & Ankle Surgery Podiatrist in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.