Individual provider Active NPI

Gary Jay Kaiserman, D.P.M.

  • Podiatrist
  • Dallas, TX
National Provider Identifier
1871707927
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0723 Issued in TX
Practice address
2431 W Kiest Blvd
Dallas, TX 75233-2305
Phone
(214) 339-2133
Fax
(214) 467-3338
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0723 TX Primary

Addresses

Primary practice location

2431 W Kiest Blvd
Dallas, TX 75233-2305

Mailing address

2431 W Kiest Blvd
Dallas, TX 75233-2305
Phone (214) 339-2133

Other identifiers 1

IdentifierTypeStateIssuer
0187825-01MedicaidTX

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
I20120228000229 TX Practitioner - Podiatry 3173781796 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2431 W Kiest Blvd
Dallas, TX 75233-2305
Phone (214) 339-2133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue96
Removal of skin lesions20
Removal of nail tissue11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0723TXMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1871707927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W KIEST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332305",
            "telephone_number": "214-339-2133",
            "fax_number": "214-467-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W KIEST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332305",
            "telephone_number": "214-339-2133",
            "fax_number": "214-467-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISERMAN",
        "first_name": "GARY",
        "middle_name": "JAY",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187825-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.