Organization Active NPI

Austin Foot & Ankle Consultants PLLC

  • Podiatrist
  • Austin, TX
National Provider Identifier
1508278623
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1937 Issued in TX
Legal business name
AUSTIN FOOT & ANKLE CONSULTANTS PLLC
Practice address
4316 James Casey St
BLDG. F, Ste. 100
Austin, TX 78745-1116
Phone
(512) 649-3166
Fax
(877) 528-6642
NPI assigned
May 22, 2014
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Jose Arnaldo Rivera, D.P.M
Title
Director
Phone
(512) 649-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1937 TX Primary

Addresses

Primary practice location

4316 James Casey St
BLDG. F, Ste. 100
Austin, TX 78745-1116

Mailing address

PO Box 49547
Austin, TX 78765-9547
Phone (512) 649-3166

Other identifiers 3

IdentifierTypeStateIssuer
217754501MedicaidTX
B107458OtherTXMEDICARE PROVIDER NUMBER
1902864333OtherPROVIDER INDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

4007 James Casey St
Ste D150
Austin, TX 78745
Phone (512) 447-8911

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1508278623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49547",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787659547",
            "telephone_number": "512-649-3166",
            "fax_number": "877-528-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLDG. F, STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-649-3166",
            "fax_number": "877-528-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN FOOT & ANKLE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ARNALDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-649-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217754501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "B107458",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDIVIDUAL NPI NUMBER",
            "identifier": "1902864333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.