DFW Foot and Ankle Care LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DFW FOOT AND ANKLE CARE LLC

Practice address

2910 Broadway Blvd Ste 212
Garland, TX 75041-3794

Phone

(469) 551-8595

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zubeen Mistry, DPMNPI 1023467586

Title

Owner

Phone

(469) 551-8595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• DFW Foot and Ankle Care LLC

  • Foot Surgery Podiatrist
  • Plano, TX
  • NPI 1558981977

  3476984899

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zubeen Mistry, DPM

  • Foot Surgery Podiatrist
  • Plano, TX
  • NPI 1023467586
  Authorized official Same address or phone

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1821744350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 COIT RD STE 220-224",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255833",
            "telephone_number": "469-551-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BROADWAY BLVD STE 212",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413794",
            "telephone_number": "469-551-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW FOOT AND ANKLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "ZUBEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-551-8595",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Base Home Health Services, Inc
• Destiny First Home Health Care Inc (Destiny Care Home Health)
• Destiny's Home Health Care LLC
• Tiffany Devereaux, RN
• Emilie Dewolfe, LPC ASSOCIATE
• DFW Home Care Services
• DFW Professional Diagnostics Affiliates
• DFW Rooming LLC
• Sonu Bharat Dholakia
• Diacon DME LLC

• Foot & Ankle Surgery Podiatrist in Garland, TX
• Providers in Garland, 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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.