Individual provider Active NPI

Victoria VI Vo, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1750815163
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00356400 Issued in NJ
Practice address
4500 S Lancaster Rd
Clinic 5 - Podiatry
Dallas, TX 75216-7167
Phone
(214) 742-8387
Fax
(214) 857-1891
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00356400 NJ Primary

Addresses

Primary practice location

4500 S Lancaster Rd
Clinic 5 - Podiatry
Dallas, TX 75216-7167

Mailing address

4500 S Lancaster Rd
Clinic 5 - Podiatry
Dallas, TX 75216-7167
Phone (214) 742-8387

Other practice location 1

70 Hudson St Bsmt
Hoboken, NJ 07030-5630
Phone (201) 659-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260414001989 NY Order and Referring Only - PodiatryPractitioner - Podiatry 4789005869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MD00356400NJMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1750815163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "CLINIC 5 - PODIATRY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-742-8387",
            "fax_number": "214-857-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "CLINIC 5 - PODIATRY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-742-8387",
            "fax_number": "214-857-1891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Hudson St Bsmt",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305630",
            "country_code": "US",
            "telephone_number": "201-659-5222",
            "fax_number": "201-659-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "VICTORIA",
        "middle_name": "VI",
        "credential": "DPM, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00356400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.