TSB Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

TSB PODIATRY PLLC

Practice address

1630 W Prosper TRL Ste 140
Prosper, TX 75078-3743

Phone

(817) 528-3725

NPI assigned

Aug 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Trent Shakespear Boehm, DPMNPI 1871157099

Title

Podiatrist

Phone

(817) 528-3725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Trent Shakespear Boehm, DPM

  • Foot & Ankle Surgery Podiatrist
  • Prosper, TX
  • NPI 1871157099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1578441507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W PROSPER TRL STE 140",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783743",
            "telephone_number": "972-314-5177",
            "fax_number": "972-314-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W PROSPER TRL STE 140",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783743",
            "telephone_number": "817-528-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSB PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "SHAKESPEAR",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "817-528-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Prosper, TX
• Providers in Prosper, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.