Smac Podiatry

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

1388 Issued in TX

Legal business name

SMAC PODIATRY

Practice address

17045 El Camino Real
Houston, TX 77058-2649

Phone

(281) 731-5610

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By 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

Stephen Anthony Nevins, DPM

Title

Owner

Phone

(281) 731-5610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1831581123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16339 LAURELFIELD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770596519",
            "telephone_number": "281-731-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17045 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582649",
            "telephone_number": "281-731-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMAC PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "NEVINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-731-5610",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Podiatric Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.