Organization Active NPI

Rachel Verville, DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Frisco, TX
National Provider Identifier
1720300445
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1902 Issued in TX
Legal business name
RACHEL VERVILLE, DPM, PA
Practice address
7044 Lebanon Rd
Suite 102
Frisco, TX 75034-7458
Phone
(214) 385-8822
Fax
(877) 713-4299
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Rachel N Verville, DPMNPI 1487892113
Title
Owner
Phone
(214) 385-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1902 TX Primary

Addresses

Primary practice location

7044 Lebanon Rd
Suite 102
Frisco, TX 75034-7458

Mailing address

7044 Lebanon Rd
Suite 102
Frisco, TX 75034-7458
Phone (214) 385-8822

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100512000183 TX Part B Supplier - Clinic/Group Practice 3577691500 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX
O20140107001366 TX DME Supplier - Physician - Podiatry 3577691500 Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3520 Preston Rd
Ste 113A
Frisco, TX 75034
Phone (214) 385-8822

Practitioners & affiliated clinicians

Practitioners 1

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1720300445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 LEBANON RD",
            "address_2": "SUITE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347458",
            "telephone_number": "214-385-8822",
            "fax_number": "877-713-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7044 LEBANON RD",
            "address_2": "SUITE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347458",
            "telephone_number": "214-385-8822",
            "fax_number": "877-713-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL VERVILLE, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "VERVILLE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-385-8822",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.