Organization Active NPI

Arlington Family Foot Care PA

  • Podiatrist
  • Fort Worth, TX
National Provider Identifier
1619989878
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ARLINGTON FAMILY FOOT CARE PA
Practice address
1617 N Beach St
Fort Worth, TX 76111-6617
Phone
(817) 831-7800
Fax
(817) 831-7303
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Thu Cao Nguyen, DPMNPI 1720098221
Title
President
Phone
(817) 831-7800

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1617 N Beach St
Fort Worth, TX 76111-6617

Mailing address

1617 N Beach St
Fort Worth, TX 76111-6617
Phone (817) 831-7800

Other identifiers 1

IdentifierTypeStateIssuer
205189801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060914000515 TX Part B Supplier - Clinic/Group Practice 3072517549 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1619989878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116617",
            "telephone_number": "817-831-7800",
            "fax_number": "817-831-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116617",
            "telephone_number": "817-831-7800",
            "fax_number": "817-831-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON FAMILY FOOT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THU",
        "authorized_official_middle_name": "CAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-831-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205189801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.