Active NPI
Arlington Family Foot Care PA
- Podiatrist
- Fort Worth, TX
National Provider Identifier
1619989878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thu Cao Nguyen, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205189801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Fort Worth, TX
- NPI 1720098221
-
- Dentist
- Arlington, TX
- NPI 1649461542
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.