NPIMap

Organization Active NPI

Diagnostic Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Bryan, TX
National Provider Identifier
1649461187
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DIAGNOSTIC FOOT SPECIALISTS
Practice address
3201 University Dr E
Ste. 115
Bryan, TX 77802-3475
Phone
(979) 696-4080
Fax
(979) 774-3668
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DIAGNOSTIC FOOT SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Robert Leisten, DPMNPI 1609842442
Title
Vice President
Phone
(713) 862-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

3201 University Dr E
Ste. 115
Bryan, TX 77802-3475

Mailing address

1740 W 27TH St
Ste. 307
Houston, TX 77008-1440
Phone (713) 862-3338

National Provider Directory

National Provider Directory
Part of
Diagnostic Foot Specialists

Locations

3201 University Dr E
Ste 115
Bryan, TX 77802
Phone (979) 696-4080

1740 W 27th St
Ste 110
Houston, TX 77008
Phone (713) 862-3338

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1649461187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "STE. 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-862-3338",
            "fax_number": "713-862-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "STE. 115",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-696-4080",
            "fax_number": "979-774-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC FOOT SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC FOOT SPECIALISTS",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "LEISTEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-862-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.