Southwest Podiatry, LLP

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHWEST PODIATRY, LLP

Practice address

18208 Preston Rd
Suite D-9 LB 112
Dallas, TX 75252-6007

Phone

(972) 566-3808

Fax

(972) 566-4690

NPI assigned

Jun 25, 2006

Last updated

Jul 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald R. Blum, DPMNPI 1902885155

Title

Managing Partner, Southwest Podiatr

Phone

(972) 566-3808

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald R Blum, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1902885155
  Authorized official Same address or phone

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1700812161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 PRESTON RD",
            "address_2": "SUITE D-9 LB 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526007",
            "telephone_number": "972-566-3808",
            "fax_number": "972-566-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18208 PRESTON RD",
            "address_2": "SUITE D-9 LB 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526007",
            "telephone_number": "972-566-3808",
            "fax_number": "972-566-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PODIATRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING PARTNER, SOUTHWEST PODIATR",
        "authorized_official_telephone_number": "972-566-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH3133",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0036DX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080802401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.