Organization Active NPI

Footcare PA

  • Primary Podiatric Medicine Podiatrist
  • Carrollton, TX
National Provider Identifier
1629174446
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
FOOTCARE PA
Practice address
4333 N Josey LN
206
Carrollton, TX 75010-4629
Phone
(972) 939-1757
Fax
(972) 939-1682
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Mr. Gary Charles Mashigian, DPMNPI 1306823018
Title
Podiatrist
Phone
(972) 939-1757

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

4333 N Josey LN
206
Carrollton, TX 75010-4629

Mailing address

4333 N Josey LN
206
Carrollton, TX 75010-4629
Phone (972) 939-1757

Other identifiers 2

IdentifierTypeStateIssuer
0014CZOtherTXBCBS GROUP PROV #
080689501MedicaidTX

National Provider Directory

National Provider Directory

Locations

4333 N Josey Ln
Ste 206
Carrollton, TX 75010
Phone (972) 939-1757

5940 W Parker Rd
Ste 202
Plano, TX 75093
Phone (972) 781-1970

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1629174446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-939-1757",
            "fax_number": "972-939-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "address_2": "206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-939-1757",
            "fax_number": "972-939-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "MASHIGIAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "972-939-1757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROV #",
            "identifier": "0014CZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080689501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.