NPIMap

Organization Active NPI

Custom Footworks

  • Pedorthist
  • Frisco, TX
National Provider Identifier
1508763236
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Legal business name
CUSTOM FOOTWORKS
Practice address
6842 Lebanon Rd Ste 104
Frisco, TX 75034-7433
Phone
(972) 913-6684
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Joshua WattsNPI 1710844527
Title
Owner/Pedorthist
Phone
(972) 913-6684

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
PedorthistGroup: 193400000X SINGLE SPECIALTY GROUP 224L00000X Primary

Addresses

Primary practice location

6842 Lebanon Rd Ste 104
Frisco, TX 75034-7433

Mailing address

6842 Lebanon Rd Ste 104
Frisco, TX 75034-7433
Phone (972) 913-6684

National Provider Directory

National Provider Directory

Locations

6842 Lebanon Rd
Ste 104
Frisco, TX 75034
Phone (972) 913-6684

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1508763236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 LEBANON RD STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347433",
            "telephone_number": "972-913-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 LEBANON RD STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347433",
            "telephone_number": "972-913-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM FOOTWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-25",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/PEDORTHIST",
        "authorized_official_telephone_number": "972-913-6684"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.