Individual provider Active NPI

Charleen Marie Handzel, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Southlake, TX
National Provider Identifier
1881695278
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1434 Issued in TX
Practice address
1422 Main St
Suite 249
Southlake, TX 76092-7625
Phone
(817) 329-0013
Fax
(817) 410-1412
NPI assigned
Aug 9, 2005
Last updated
Mar 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1434 TX Primary

Addresses

Primary practice location

1422 Main St
Suite 249
Southlake, TX 76092-7625

Mailing address

821 Paisley Dr
Flower Mound, TX 75028-7209
Phone (972) 814-2427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feet Feet, PC Foot & Ankle Surgery PastSince Mar 8, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363392000000",
    "number": "1881695278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PAISLEY DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287209",
            "telephone_number": "972-814-2427",
            "fax_number": "972-691-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 MAIN ST",
            "address_2": "SUITE 249",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927625",
            "telephone_number": "817-329-0013",
            "fax_number": "817-410-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDZEL",
        "first_name": "CHARLEEN",
        "middle_name": "MARIE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; 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.