Organization Active NPI

Richard H Weiner DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1679697296
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0520 Issued in TX
Legal business name
RICHARD H WEINER DPM PA
Practice address
4523 W Lovers LN
Dallas, TX 75209-3131
Phone
(214) 351-2180
Fax
(214) 351-3886
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Richard H Weiner, DPM
Title
Chairman and Treasurer
Phone
(214) 351-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 0520 TX Primary

Addresses

Primary practice location

4523 W Lovers LN
Dallas, TX 75209-3131

Mailing address

4523 W Lovers LN
Dallas, TX 75209-3131
Phone (214) 351-2180

Other identifiers 3

IdentifierTypeStateIssuer
0098PMOtherTXBLUE CROSS BLUE SHIELD
282978001MedicaidTX
119891305OtherTXMEDICAID PERFORMING PROVIDER INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

Locations

4523 W Lovers Ln
Dallas, TX 75209
Phone (214) 351-2180

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1679697296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093131",
            "telephone_number": "214-351-2180",
            "fax_number": "214-351-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093131",
            "telephone_number": "214-351-2180",
            "fax_number": "214-351-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H WEINER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHAIRMAN AND TREASURER",
        "authorized_official_telephone_number": "214-351-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0098PM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282978001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PERFORMING PROVIDER INDIVIDUAL NUMBER",
            "identifier": "119891305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.