Individual provider Active NPI

Paulette Jean Nairne, DPM

  • Podiatrist
  • Duncanville, TX
National Provider Identifier
1720180664
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1468 Issued in TX
Practice address
407 N Cedar Ridge Dr
Ste 225
Duncanville, TX 75116-3169
Phone
(972) 816-6030
Fax
(972) 299-9998
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1468 TX Primary

Addresses

Primary practice location

407 N Cedar Ridge Dr
Ste 225
Duncanville, TX 75116-3169

Mailing address

407 N Cedar Ridge Dr
Ste 225
Duncanville, TX 75116-3169
Phone (972) 816-6030

Other identifiers 3

IdentifierTypeStateIssuer
018595101MedicaidTX
177282401MedicaidTX
018595102MedicaidTX

Other names 1

  • Dr. P J Nairne Professional name

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
I20081003000582 TX Practitioner - Podiatry 3971671983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1468TXMDPodiatrist

Organizations & group practices 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1720180664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CEDAR RIDGE DR",
            "address_2": "STE 225",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163169",
            "telephone_number": "972-816-6030",
            "fax_number": "972-299-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CEDAR RIDGE DR",
            "address_2": "STE 225",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163169",
            "telephone_number": "972-816-6030",
            "fax_number": "972-299-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIRNE",
        "first_name": "PAULETTE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018595101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177282401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018595102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P",
            "last_name": "NAIRNE",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.