Organization Active NPI

Laredo Family Foot Center, DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Laredo, TX
National Provider Identifier
1770620502
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LAREDO FAMILY FOOT CENTER, DPM, PA
Practice address
604 Shiloh Dr Ste 1
Laredo, TX 78045-6766
Phone
(956) 753-3668
Fax
(956) 753-3672
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Daniel Bell, DPMNPI 1417954421
Title
President
Phone
(956) 712-3338

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 Primary

Addresses

Primary practice location

604 Shiloh Dr Ste 1
Laredo, TX 78045-6766

Mailing address

604 Shiloh Dr Ste 1
Laredo, TX 78045-6766
Phone (956) 712-3338

Other practice location 1

1105 Corpus Christi St
Laredo, TX 78040-5258
Phone (956) 712-3338

Other identifiers 1

IdentifierTypeStateIssuer
1570392-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000481 TX Part B Supplier - Clinic/Group Practice 3375791635 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1018537Laredo Family Foot Center LLC604 Shiloh, Suite 1, Laredo, TX 78045Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Laredo Family Foot Center DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

604 Shiloh Dr
Ste 1
Laredo, TX 78045
Phone (956) 712-3338

1105 Corpus Christi St
Laredo, TX 78040
Phone (956) 441-1555

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1770620502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SHILOH DR STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456766",
            "telephone_number": "956-712-3338",
            "fax_number": "956-753-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SHILOH DR STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456766",
            "telephone_number": "956-753-3668",
            "fax_number": "956-753-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Corpus Christi St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780405258",
            "country_code": "US",
            "telephone_number": "956-712-3338",
            "fax_number": "956-791-1951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAREDO FAMILY FOOT CENTER, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-712-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570392-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.