Active NPI
Arlington Mansfield Foot & Ankle Centers, PA
- Foot Surgery Podiatrist
- Mansfield, TX
National Provider Identifier
1811208994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA
- Practice address
- 1001 Matlock Rd Ste 103
Mansfield, TX 76063 - Phone
- (817) 467-1990
- NPI assigned
- Jun 23, 2010
- 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. Joe Southerland, DPM
- Title
- Owner
- Phone
- (817) 467-1990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
1001 Matlock Rd Ste 103
Mansfield, TX 76063
Mailing address
400 W Arbrook Blvd Ste 201
Arlington, TX 76014-3176
Phone (972) 467-1990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7691060002 | Other | TX | DMERC NSC |
Other names 1
- MANSFIELD FOOT AND ANKLE CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1811208994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W ARBROOK BLVD STE 201",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760143176",
"telephone_number": "972-467-1990",
"fax_number": "817-466-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MATLOCK RD STE 103",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "817-467-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-23",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "SOUTHERLAND",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-467-1990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC NSC",
"identifier": "7691060002",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MANSFIELD FOOT AND ANKLE CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MANSFIELD FOOT AND ANKLE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.