Organization Active NPI

Deniel Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1679074298
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2288 Issued in TX
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

Updated by the provider on Aug 5, 2022

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00Q13KOtherTXBCBS TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.