Kyle E Hoogendoorn, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1844 Issued in TX

Practice address

6048 Lake Worth Blvd
Fort Worth, TX 76135-3706

Phone

(817) 336-1189

Fax

(817) 698-8281

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pro-Active Wound Care Clinics LLC

  • Foot & Ankle Surgery Podiatrist
  • Dublin, OH
  • NPI 1467485813
  NPD (past) Authorized official
• The Foot & Ankle Health Center

  • Foot & Ankle Surgery Podiatrist
  • Grove City, OH
  • NPI 1548327059
  NPD (past) Authorized official
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)
• Pain Control Consultants Inc

  • Interventional Pain Medicine Physician
  • Columbus, OH
  • NPI 1225067432
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1629135157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6048 LAKE WORTH BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353706",
            "telephone_number": "817-336-1189",
            "fax_number": "817-698-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6048 LAKE WORTH BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353706",
            "telephone_number": "817-336-1189",
            "fax_number": "817-698-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGENDOORN",
        "first_name": "KYLE",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198413002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198413003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198413001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198413004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Sujeong Hong, DDS, PPLC
• Kristy Hong
• Michael Hong, D.O
• Amber Hood
• Suzanne E Hood, D.O.
• Debra Jean Hook, RN
• Danielle Hooke, BCBA
• Carla Hooker, RN
• Christopher Hooker, LPC
• Glen D Hooker, MD

• Podiatrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Podiatrist in Texas

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

Verify at the official NPI Registry.