Active NPI
Port for the Sole Podiatry PLLC
- Foot & Ankle Surgery Podiatrist
- Temple, TX
National Provider Identifier
1821987157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PORT FOR THE SOLE PODIATRY PLLC
- Practice address
- 23621 SE H K Dodgen Loop
Temple, TX 76504-8664 - Phone
- (254) 410-0555
- NPI assigned
- Jul 1, 2025
- 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
- Rebecca Smith
- Title
- DPM
- Phone
- (432) 266-0209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
23621 SE H K Dodgen Loop
Temple, TX 76504-8664
Mailing address
35 United Dr Ste 102
West Bridgewater, MA 02379-1056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Temple, TX
- NPI 1598053910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1821987157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 UNITED DR STE 102",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23621 SE H K DODGEN LOOP",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765048664",
"telephone_number": "254-410-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT FOR THE SOLE PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-01",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "432-266-0209"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.