Greater Foundation Foot Clinics East Texas, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GREATER FOUNDATION FOOT CLINICS EAST TEXAS, PLLC

Practice address

1761 Troup Hwy
Tyler, TX 75701-5869

Phone

(903) 593-0987

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Dustin Wade Smith, DPMNPI 1164468344

Title

Owner

Phone

(903) 593-0987

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Wade Smith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gilmer, TX
  • NPI 1164468344
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1801407887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015869",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015869",
            "telephone_number": "903-593-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 McCann Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015139",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 S Barron St",
            "address_purpose": "LOCATION",
            "city": "Rusk",
            "state": "TX",
            "postal_code": "757851253",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757716266",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 S Henderson Blvd",
            "address_purpose": "LOCATION",
            "city": "Kilgore",
            "state": "TX",
            "postal_code": "756623576",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 US Highway 271 N",
            "address_purpose": "LOCATION",
            "city": "Gilmer",
            "state": "TX",
            "postal_code": "756445241",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-593-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 E Goode St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "TX",
            "postal_code": "757831623",
            "country_code": "US",
            "telephone_number": "903-593-0987",
            "fax_number": "903-592-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER FOUNDATION FOOT CLINICS EAST TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-593-0987",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• James Kent Gray, M.D.
• Kim Gray, MA., CCC-SLP
• Stacey Gray
• Grayce Nutrition and Wellness, LLC
• Lillie Grayson
• Richard David Greczanik, D.O.
• Green Acres Baptist Church
• Green Acres Baptist Church
• Bradley Andrew Green, PHD
• Cossette Alina Green, DO

• Foot & Ankle Surgery Podiatrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.