NPIMap

Individual provider Active NPI

Joel Bruce Dacus, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Fort Worth, TX
National Provider Identifier
1699034728
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
2003 Issued in TX
Practice address
4444 Heritage Trace Pkwy Ste 400
Fort Worth, TX 76244-8944
Phone
(817) 424-3668
Fax
(817) 741-4001
NPI assigned
May 9, 2012
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 2003 TX Primary

Addresses

Primary practice location

4444 Heritage Trace Pkwy Ste 400
Fort Worth, TX 76244-8944

Mailing address

PO Box 834
Sanger, TX 76266-0834
Phone (214) 404-9376

Other practice location 1

1940 hwy 114 suite 150
Southlake, TX 76092-7609
Phone (817) 424-3668

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

State licenses

LicenseStateTypeSpecialty
2003TXMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Foot Health Clinic PS PastSince Jul 16, 2023 Accepting new patients
Barbara L Atwood MD LLC Past Accepting new patients
Pacific Podiatry Group, PS Primary Podiatric Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1699034728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762660834",
            "telephone_number": "214-404-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 HERITAGE TRACE PKWY STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448944",
            "telephone_number": "817-424-3668",
            "fax_number": "817-741-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 hwy 114 suite 150",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760927609",
            "country_code": "US",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACUS",
        "first_name": "JOEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.