East Texas Foot and Ankle Centers, PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1927 Issued in TX

Legal business name

EAST TEXAS FOOT AND ANKLE CENTERS, PA

Practice address

6603 Oak Hill Blvd
Tyler, TX 75703-0586

Phone

(903) 939-3668

Fax

(903) 939-0661

NPI assigned

Mar 31, 2011

Last updated

Oct 9, 2020By 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. James Edward Kent, DPMNPI 1689902918

Title

Podiatrist

Phone

(903) 939-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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.

• James Edward Kent, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
  • NPI 1689902918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1710276662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030586",
            "telephone_number": "903-939-3668",
            "fax_number": "903-939-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030586",
            "telephone_number": "903-939-3668",
            "fax_number": "903-939-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS FOOT AND ANKLE CENTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2020-10-09",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "903-939-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CV514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Eye Care Associates PLLC (The Optical Shop)
• East Texas Family Support Clinic
• East Texas First Surgical Support PLLC
• East Texas Flight Ambulance (Air One East Texas Medical Center)
• East Texas Foot and Ankle Care PLLC
• East Texas Functional Medicine Center, LLC (Integrative Health Matters)
• East Texas Hearing AIDS, LLC
• East Texas Home Medical and Home Modifications
• East Texas Infectious Disease Consultants, PLLC
• East Texas Infusion Center, PLLC

• Foot & Ankle Surgery Podiatrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.