NPIMap

Organization Active NPI

Eddie Davis, DPM, PLLC

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1629310610
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
EDDIE DAVIS, DPM, PLLC
Practice address
1314 E Sonterra Blvd Ste 2103
San Antonio, TX 78258-4286
Phone
(210) 829-8770
Fax
(210) 495-0242
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Eddie DavisNPI 1609075902
Title
Owner/DPM
Phone
(210) 490-3668

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1314 E Sonterra Blvd Ste 2103
San Antonio, TX 78258-4286

Mailing address

109 Gallery Cir Ste 119
San Antonio, TX 78258-3328
Phone (210) 829-8770

Other identifiers 1

IdentifierTypeStateIssuer
168270001MedicaidTX

Other names 1

  • Alamo Family Foot & Ankle Care Doing business as

National Provider Directory

National Provider Directory

Locations

28580 Interstate 10 W
Fair Oaks Ranch, TX 78006
Phone (210) 466-4780

12042 Blanco Rd
Ste 310
San Antonio, TX 78216
Phone (210) 341-4183

1314 E Sonterra Blvd
Ste 302
San Antonio, TX 78258
Phone (210) 829-8770

1314 E Sonterra Blvd
Ste 2103
San Antonio, TX 78258
Phone (210) 829-8770

Practitioners & affiliated clinicians

Practitioners 11

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": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1629310610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GALLERY CIR STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583328",
            "telephone_number": "210-829-8770",
            "fax_number": "210-495-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 2103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584286",
            "telephone_number": "210-829-8770",
            "fax_number": "210-495-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE DAVIS, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER/DPM",
        "authorized_official_telephone_number": "210-490-3668"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168270001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Family Foot & Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.