Active NPI
Deniel Foot and Ankle Center
- Foot & Ankle Surgery Podiatrist
- Houston, TX
National Provider Identifier
1679074298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2288
- Legal business name
- DENIEL FOOT AND ANKLE CENTER
- Practice address
- 15003 FM 529 Rd Ste a
Houston, TX 77095-4379 - Phone
- (832) 415-1790
- Fax
- (281) 619-7998
- NPI assigned
- Feb 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ejodamen Blessing Shobowale, DPM
- Title
- President-Owner
- Phone
- (773) 510-0124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2288 | TX | Primary |
Addresses
Primary practice location
15003 FM 529 Rd Ste a
Houston, TX 77095-4379
Mailing address
15003 FM 529 Rd Ste B
Houston, TX 77095-4379
Phone (832) 415-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00Q13K | Other | TX | BCBS TX |
National Provider Directory
National Provider DirectoryLocations
15003 FM 529 Rd
Houston, TX 77095
Phone (281) 656-2772
15003 FM 529 Rd
Ste B
Houston, TX 77095
Phone (281) 910-7172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659657600000",
"number": "1679074298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15003 FM 529 RD STE B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770954379",
"telephone_number": "832-415-1790",
"fax_number": "281-619-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15003 FM 529 RD STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770954379",
"telephone_number": "832-415-1790",
"fax_number": "281-619-7998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENIEL FOOT AND ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-28",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A",
"authorized_official_last_name": "SHOBOWALE",
"authorized_official_first_name": "EJODAMEN",
"authorized_official_middle_name": "BLESSING",
"authorized_official_title_or_position": "PRESIDENT-OWNER",
"authorized_official_telephone_number": "773-510-0124",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "00Q13K",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.