Organization Active NPI

Alex J. Urteaga, D.P.M,P.a.

  • Foot & Ankle Surgery Podiatrist
  • New Braunfels, TX
National Provider Identifier
1508046996
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1275 Issued in TX
Legal business name
ALEX J. URTEAGA, D.P.M,P.A.
Practice address
1528 E Common St
Ste 18
New Braunfels, TX 78130-3337
Phone
(830) 625-8200
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Alex J Urteaga, DPMNPI 1326063231
Title
Owner/Physician
Phone
(830) 625-8200

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1275 TX Primary

Addresses

Primary practice location

1528 E Common St
Ste 18
New Braunfels, TX 78130-3337

Mailing address

614C S Business Ih 35 Ste 82
New Braunfels, TX 78130-4795
Phone (830) 625-8200

Other identifiers 2

IdentifierTypeStateIssuer
155511201MedicaidTX
0073HVOtherTXBCBS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930092535 TX DME Supplier - Physician - Podiatry 6103027115 Practice locations: New Braunfels, TX
O20101027001380 TX Part B Supplier - Clinic/Group Practice 6103027115 Receives reassigned benefits from 2 practitioners
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

614 S Business Ih 35
Ste 82
New Braunfels, TX 78130

800 W San Antonio St
New Braunfels, TX 78130
Phone (830) 625-1473

Practitioners & affiliated clinicians

Practitioners 2

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1508046996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614C S BUSINESS IH 35 STE 82",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304795",
            "telephone_number": "830-625-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 E COMMON ST",
            "address_2": "STE 18",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303337",
            "telephone_number": "830-625-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX J. URTEAGA, D.P.M,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "URTEAGA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "830-625-8200",
        "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": "1275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155511201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0073HV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.