Individual provider Active NPI

Scott Benjamin Floyd, D.P.M.

  • Podiatrist
  • Southlake, TX
National Provider Identifier
1508249558
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2317 Issued in TX
Practice address
Academy Foot & Ankle Specialist
1940 E. State Hwy 114, Suite 150
Southlake, TX 76092-6526
Phone
(817) 424-3668
Fax
(817) 442-8637
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2317 TX Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2317 TX

Addresses

Primary practice location

Academy Foot & Ankle Specialist
1940 E. State Hwy 114, Suite 150
Southlake, TX 76092-6526

Mailing address

1940 E. State Hwy 114
Suite 150
Southlake, TX 76092-6526
Phone (817) 424-3668

Other practice location 1

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (281) 705-6375

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
I20180806000403 TX Practitioner - Podiatry 0446508675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2317TXMDMedical Laboratory Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Foot & Ankle Specialists, P.a. Single Specialty CurrentSince Aug 2, 2020 Accepting new patients
HM Podiatry PA Single Specialty CurrentSince Aug 3, 2020 Accepting new patients
Academy Foot & Ankle Specialists at Highland Village PLLC Single Specialty Past Accepting new patients

Locations

7226 Crawford Rd
Ste 100
Argyle, TX 76226
Phone (214) 337-6362

3105 Colorado Blvd
Denton, TX 76210
Phone (940) 383-3444

4444 Heritage Trace Pkwy
Ste 400
Fort Worth, TX 76244
Phone (817) 741-4000

6501 Precinct Line Rd
Ste 100
North Richlnd Hls, TX 76182
Phone (817) 503-0009

1940 E State Highway 114
Southlake, TX 76092
Phone (817) 329-4800

1940 E State Highway 114
Ste 150
Southlake, TX 76092
Phone (817) 424-3688

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1508249558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E. STATE HWY 114",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACADEMY FOOT & ANKLE SPECIALIST",
            "address_2": "1940 E. STATE HWY 114, SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Roanoke Blvd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241536404",
            "country_code": "US",
            "telephone_number": "281-705-6375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "SCOTT",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2317",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.