Active NPI
Laredo Family Foot Center, DPM, PA
- Foot & Ankle Surgery Podiatrist
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Bell, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1570392-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1018537 | Laredo Family Foot Center LLC | Certificate of waiver | Oct 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Laredo Family Foot Center DPM PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Laredo, TX
- NPI 1841452331
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.
-
- Foot & Ankle Surgery Podiatrist
- Laredo, TX
- NPI 1417954421
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.