Active NPI
Peter R Defrank, DPM
- Foot Surgery Podiatrist
- Dallas, TX
National Provider Identifier
1629044144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0866
- Practice address
- 7709 Alto Caro Dr
Dallas, TX 75248-4303 - Phone
- (214) 866-5313
- Fax
- (972) 947-3976
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0866 | TX | |
| Foot Surgery Podiatrist | 213ES0131X | 0866 | TX | Primary |
Addresses
Primary practice location
7709 Alto Caro Dr
Dallas, TX 75248-4303
Mailing address
7709 Alto Caro Dr
Dallas, TX 75248-4303
Phone (214) 866-5313
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01242887 | Other | TX | RAILROAD MEDICARE |
| 112216007 | Medicaid | TX | |
| 112216009 | Medicaid | TX | |
| 75-2018765 | Other | TX | TAX ID |
| 112216008 | Medicaid | TX | |
| 112216010 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1629044144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 ALTO CARO DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752484303",
"telephone_number": "214-866-5313",
"fax_number": "972-947-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7709 ALTO CARO DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752484303",
"telephone_number": "214-866-5313",
"fax_number": "972-947-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFRANK",
"first_name": "PETER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0866",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "0866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01242887",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112216007",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112216009",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "75-2018765",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112216008",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112216010",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.