Individual provider Active NPI

Dwight C Volling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alice, TX
National Provider Identifier
1518939842
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
TX0576 Issued in TX
Practice address
72 N Wright St
Alice, TX 78332-4901
Phone
(361) 664-1121
Fax
(361) 664-3668
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X TX0576 TX Primary

Addresses

Primary practice location

72 N Wright St
Alice, TX 78332-4901

Mailing address

72 N Wright St
Alice, TX 78332-4901
Phone (361) 664-1121

Other identifiers 1

IdentifierTypeStateIssuer
018705601MedicaidTX

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
I20120522000977 TX Practitioner - Podiatry 8224291687 Practice locations: Alice, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

72 N Wright
Alice, TX 78332-4901

72 N Wright St
Alice, TX 78332-4901
Phone (361) 664-1121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue136
Removal of skin lesions1-10
Removal of nail tissue259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX0576TXMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1518939842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N WRIGHT ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324901",
            "telephone_number": "361-664-1121",
            "fax_number": "361-664-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N WRIGHT ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324901",
            "telephone_number": "361-664-1121",
            "fax_number": "361-664-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLING",
        "first_name": "DWIGHT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "TX0576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018705601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.