Inner City Podiatry Professional Limited Liability Company

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2215 Issued in TX

Legal business name

INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

3801 Vista Rd Ste 180
Pasadena, TX 77504

Phone

(832) 617-6963

Fax

(281) 605-6705

NPI assigned

Apr 24, 2017

Last updated

May 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarita Danyel Dillard, DPM

Title

Provider/Owner

Phone

(832) 617-6963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1629503933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770010042",
            "telephone_number": "832-617-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 VISTA RD STE 180",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "832-617-6963",
            "fax_number": "281-605-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Binz St",
            "address_2": "STE 1275",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046900",
            "country_code": "US",
            "telephone_number": "832-617-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "SARITA",
        "authorized_official_middle_name": "DANYEL",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "832-617-6963",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.