NPIMap

Organization Active NPI

Podiatry Associates of Texas.

  • Podiatrist
  • Arlington, TX
National Provider Identifier
1871998534
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2080 Issued in TX
Legal business name
PODIATRY ASSOCIATES OF TEXAS.
Practice address
1186 W Pioneer Pkwy
Arlington, TX 76013-6367
Phone
(817) 800-8380
Fax
(817) 468-0064
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Silas Odanga. Salano, DPMNPI 1598004061
Title
Podiatrist/Owner
Phone
(817) 800-8380

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2080 TX Primary

Addresses

Primary practice location

1186 W Pioneer Pkwy
Arlington, TX 76013-6367

Mailing address

1186 W Pioneer Pkwy
Arlington, TX 76013-6367
Phone (817) 704-4223

Other identifiers 1

IdentifierTypeStateIssuer
342221403MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150416000056 TX Part B Supplier - Clinic/Group Practice 5294053625 Receives reassigned benefits from 13 practitioners
Practice locations: Arlington, TX
O20170601002156 TX DME Supplier - Physician - Podiatry 5294053625 Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

1186 W Pioneer Pkwy
Arlington, TX 76013
Phone (214) 516-3824

1186 W Pioneer Pkwy
Ofc
Arlington, TX 76013
Phone (817) 704-4223

1108 W Pioneer Pkwy
Arlington, TX 76013

2705 Hospital Blvd
Ste 105
Grand Prairie, TX 75051
Phone (817) 717-1299

2705 Hospital Blvd
#105
Grand Prairie, TX 75051
Phone (817) 704-4223

912 Foster Ln
Weatherford, TX 76086
Phone (817) 599-8500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1871998534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 W PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136367",
            "telephone_number": "817-704-4223",
            "fax_number": "817-984-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 W PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136367",
            "telephone_number": "817-800-8380",
            "fax_number": "817-468-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF TEXAS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "SALANO",
        "authorized_official_first_name": "SILAS",
        "authorized_official_middle_name": "ODANGA.",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "817-800-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342221403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.