Individual provider Active NPI

Teresa Barrios Ogden, DPM

  • Foot Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1659376572
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0925P Issued in TX
Practice address
12042 Blanco Rd
Suite 310
San Antonio, TX 78216-5440
Phone
(210) 341-4183
Fax
(210) 341-3831
NPI assigned
Jun 16, 2005
Reactivated
Mar 29, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0925P TX Primary

Addresses

Primary practice location

12042 Blanco Rd
Suite 310
San Antonio, TX 78216-5440

Mailing address

12042 Blanco Rd
Suite 310
San Antonio, TX 78216-5440
Phone (210) 341-4183

Other identifiers 4

IdentifierTypeStateIssuer
0528390001OtherTXPALMETTO DME
87M511OtherTXBLUE CROSS/BLUE SHIELD
4369815OtherTXAETNA
121578204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James D Ogden DPM & Teresa Barrios-Ogden, DPM, PA PastSince Dec 10, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1659376572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 BLANCO RD",
            "address_2": "SUITE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165440",
            "telephone_number": "210-341-4183",
            "fax_number": "210-341-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BLANCO RD",
            "address_2": "SUITE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165440",
            "telephone_number": "210-341-4183",
            "fax_number": "210-341-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIOS OGDEN",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-11-12",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "0925P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "0528390001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "87M511",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4369815",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121578204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 12, 2014; 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.