Individual provider Active NPI

David Brent Williams, DPM

  • Podiatrist
  • El Paso, TX
National Provider Identifier
1821029505
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1749 Issued in TX
Practice address
1533 N Lee Trevino Dr
C1
El Paso, TX 79936-5170
Phone
(915) 433-0991
Fax
(815) 301-5599
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 320 NM
Podiatrist 213E00000X 1749 TX Primary

Addresses

Primary practice location

1533 N Lee Trevino Dr
C1
El Paso, TX 79936-5170

Mailing address

1407 Elm St
El Paso, TX 79930-2909
Phone (915) 239-0003

Other identifiers 2

IdentifierTypeStateIssuer
180261304MedicaidTX
F8031MedicaidNM

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
I20060425000616 TX Practitioner - Podiatry 5092725762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4409 Dyer St
El Paso, TX 79930-6734
Phone (915) 491-6346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue90
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Laser Care PLLC Foot & Ankle Surgery CurrentSince Mar 17, 2016 Accepting new patients

Locations

1533 N Lee Trevino Dr
Ste C1
El Paso, TX 79936
Phone (915) 433-0991

4409 Dyer St
El Paso, TX 79930
Phone (915) 433-0991

1533 N Lee Trevino Dr
#C
El Paso, TX 79936
Phone (915) 491-6346

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1821029505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ELM ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302909",
            "telephone_number": "915-239-0003",
            "fax_number": "915-975-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N LEE TREVINO DR",
            "address_2": "C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365170",
            "telephone_number": "915-433-0991",
            "fax_number": "815-301-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "middle_name": "BRENT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "320",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180261304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F8031",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.