Individual provider Active NPI

Jacob Boyce Jasper, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Arlington, TX
National Provider Identifier
1528441847
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
T68-2015 Issued in TX
Practice address
3050 S Center St Ste 140
Arlington, TX 76014
Phone
(817) 557-1006
Fax
(817) 557-2000
NPI assigned
Jul 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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 T68-2015 TX Primary

Addresses

Primary practice location

3050 S Center St Ste 140
Arlington, TX 76014

Mailing address

3050 S Center St Ste 140
Arlington, TX 76014-2155
Phone (817) 557-1006

Other practice location 1

2601 Thornton Ln
Temple, TX 76502-1808
Phone (480) 452-7819

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
I20180920003249 TX Practitioner - Podiatry 9133400328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
Dharmesh Bhakta, DPM, PAGroup PAC ID 1052375128, 5 clinicians

Practice addresses (Care Compare)

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

221 Regency Pkwy
Suite 117
Mansfield, TX 76063-5379
Phone (817) 477-3611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of nail tissue488
Removal or shaving of skin growth349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T68-2015TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dharmesh Bhakta, DPM, PA Foot & Ankle Surgery CurrentSince Jul 1, 2018 Accepting new patients
Dallas Nephrology Associates Past Accepting new patients

Locations

3050 S Center St
Ste 140
Arlington, TX 76014
Phone (817) 557-1006

221 Regency Pkwy
Ste 117
Mansfield, TX 76063
Phone (817) 477-3611

800 Highlander Ave
Ste 400
Midlothian, TX 76065
Phone (817) 557-1006

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1528441847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S CENTER ST STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142155",
            "telephone_number": "817-557-1006",
            "fax_number": "817-557-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S CENTER ST STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-557-1006",
            "fax_number": "817-557-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Thornton Ln",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765021808",
            "country_code": "US",
            "telephone_number": "480-452-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASPER",
        "first_name": "JACOB",
        "middle_name": "BOYCE",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T68-2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.