NPIMap

Organization Active NPI

Foot and Ankle Associates of North Texas, LLP

  • Foot & Ankle Surgery Podiatrist
  • Keller, TX
National Provider Identifier
1851833651
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE ASSOCIATES OF NORTH TEXAS, LLP
Practice address
816 Keller Pkwy
101
Keller, TX 76248-2479
Phone
(817) 416-6155
NPI assigned
Nov 9, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Lori Cerami, MBA
Title
Cheif Operating Officer
Phone
(817) 726-9301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

816 Keller Pkwy
101
Keller, TX 76248-2479

Mailing address

2421 Ira E Woods Ave
#100
Grapevine, TX 76051-3906
Phone (817) 416-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001000751 TX DME Supplier - Physician - Podiatry 3375503022 1 other NPI on this enrollment
Practice locations: Keller, TX

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

230 N Park Blvd
Ste 106
Grapevine, TX 76051
Phone (817) 416-6155

816 Keller Pkwy
Ste 101
Keller, TX 76248
Phone (817) 416-6155

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1851833651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 IRA E WOODS AVE",
            "address_2": "#100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513906",
            "telephone_number": "817-416-6155",
            "fax_number": "817-886-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 KELLER PKWY",
            "address_2": "101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482479",
            "telephone_number": "817-416-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE ASSOCIATES OF NORTH TEXAS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "CERAMI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-726-9301",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.