Organization Active NPI

Family Foot Clinic, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1730382003
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0425 Issued in TX
Legal business name
FAMILY FOOT CLINIC, P.C.
Practice address
1411 N Beckley Ave Ste 456
Dallas, TX 75203-1593
Phone
(214) 943-2621
Fax
(972) 270-7759
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael J Miller, D.P.M.
Title
President
Phone
(972) 270-7627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0425 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave Ste 456
Dallas, TX 75203-1593

Mailing address

1675 Republic Pkwy
Suite 101
Mesquite, TX 75150-6903
Phone (972) 270-7627

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
Ste 340
Dallas, TX 75208
Phone (214) 943-2621

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730382003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY",
            "address_2": "SUITE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506903",
            "telephone_number": "972-270-7627",
            "fax_number": "972-270-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 456",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031593",
            "telephone_number": "214-943-2621",
            "fax_number": "972-270-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-270-7627",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.