Active NPI
Richard H Weiner DPM PA
- Foot & Ankle Surgery Podiatrist
- Dallas, TX
National Provider Identifier
1679697296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0520
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098PM | Other | TX | BLUE CROSS BLUE SHIELD |
| 282978001 | Medicaid | TX | |
| 119891305 | Other | TX | MEDICAID PERFORMING PROVIDER INDIVIDUAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.