Organization Active NPI

New Braunfels Podiatry Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • New Braunfels, TX
National Provider Identifier
1699944348
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
NEW BRAUNFELS PODIATRY ASSOCIATES, LLC
Practice address
1524 N Walnut Ave
New Braunfels, TX 78130-6074
Phone
(830) 625-1642
Fax
(830) 625-1672
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Mrs. Anita Sue Moore
Title
Billing Office
Phone
(830) 625-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1524 N Walnut Ave
New Braunfels, TX 78130-6074

Mailing address

1524 N Walnut Ave
New Braunfels, TX 78130-6074
Phone (830) 625-1642

Other identifiers 2

IdentifierTypeStateIssuer
00T41EOtherGROUP NUMBER
0852469-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090114000378 TX Part B Supplier - Clinic/Group Practice 9032272216 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX
O20100930012127 TX DME Supplier - Physician - Podiatry 9032272216 Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1699944348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306074",
            "telephone_number": "830-625-1642",
            "fax_number": "830-625-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306074",
            "telephone_number": "830-625-1642",
            "fax_number": "830-625-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS PODIATRY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "830-625-1484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "00T41E",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852469-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.