Individual provider Active NPI

David John Secord, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Juan, TX
National Provider Identifier
1801874763
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1412 Issued in TX
Practice address
801 W 1St St
San Juan, TX 78589-2276
Phone
(956) 787-8915
Fax
(956) 787-2021
NPI assigned
Jan 2, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 1412 TX Primary

Addresses

Primary practice location

801 W 1St St
San Juan, TX 78589-2276

Mailing address

5350 S Staples St
Suite 100
Corpus Christi, TX 78411-4682
Phone (361) 888-8878

Other practice location 1

5350 S Staples St
Suite 100
Corpus Christi, TX 78411-4682
Phone (361) 888-8878

Other identifiers 3

IdentifierTypeStateIssuer
038897704MedicaidTX
2K4892OtherTXNOVITAS
P01362501OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050203000953 TX Practitioner - Podiatry 1355392697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuestra Clinica del Valle, Inc.Group PAC ID 8921916552, shared by 11 NPIs, 28 clinicians

Practice addresses (Care Compare)

1500 W 1St St
Mercedes, TX 78570-2551
Phone (956) 565-3191

801 W 1St St
San Juan, TX 78589-2276
Phone (956) 787-8915

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Michael E. Graham, DPM, PC Foot & Ankle Surgery Past Accepting new patients
Nuestra Clinica del Valle Inc Past Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Lepow Podiatric Medical Associates Foot & Ankle Surgery Past Accepting new patients
Karen Elizabeth Chagnon Dba Senior Care Associates of Texas PastSince May 7, 2014 Accepting new patients
Primehealth of Kentucky LLC Past Accepting new patients

Locations

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1801874763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S STAPLES ST",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114682",
            "telephone_number": "361-888-8878",
            "fax_number": "361-888-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 1ST ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892276",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 S Staples St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784114682",
            "country_code": "US",
            "telephone_number": "361-888-8878",
            "fax_number": "361-888-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECORD",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038897704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVITAS",
            "identifier": "2K4892",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01362501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.