Individual provider Active NPI

John Richard Landry, D.P.M.

  • Podiatrist
  • Arlington, TX
National Provider Identifier
1710936158
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1212 Issued in TX
Practice address
400 W Arbrook Blvd Ste 201
Arlington, TX 76014-3176
Phone
(817) 469-1990
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1212 TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd Ste 201
Arlington, TX 76014-3176

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000713 TX Practitioner - Podiatry 5698689651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

400 W Arbrook Blvd
Suite 201
Arlington, TX 76014-3176
Phone (817) 467-1990

Merit-based Incentive Payment System (MIPS)

Final score
86.94 of 100Reported as individual
Quality
76.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue62
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1212TXMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC Podiatrist CurrentSince Dec 1, 2018 Accepting new patients
Interventional Partners PLLC Podiatrist CurrentSince Dec 1, 2018 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 201
Arlington, TX 76014
Phone (817) 467-1990

461 Highlander Blvd Ste 171
Arlington, TX 76014

461 Highlander Blvd Ste 141
Arlington, TX 76014

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: john.landry.1@12733.direct.athenahealth.com
  • Direct secure messaging: john.landry.1@2477.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1710936158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143176",
            "telephone_number": "817-469-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.