Organization Active NPI

Arlington Mansfield Foot & Ankle Centers, PA

  • Foot Surgery Podiatrist
  • Mansfield, TX
National Provider Identifier
1811208994
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
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

Updated by the provider on Sep 6, 2018

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7691060002OtherTXDMERC NSC

Other names 1

  • MANSFIELD FOOT AND ANKLE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.