Organization Active NPI

Restore Foot and Ankle PC

  • Foot & Ankle Surgery Podiatrist
  • Irving, TX
National Provider Identifier
1891191573
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1822 Issued in TX
Legal business name
RESTORE FOOT AND ANKLE PC
Practice address
701 Tuscan Dr Ste 220
Irving, TX 75039-3838
Phone
(972) 432-9191
Fax
(972) 432-0538
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Dr. Rosemarie Resendez, D.P.M.
Title
Podiatrist
Phone
(817) 226-8199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1822 TX Primary

Addresses

Primary practice location

701 Tuscan Dr Ste 220
Irving, TX 75039-3838

Mailing address

PO Box 120102
Arlington, TX 76012-0102
Phone (817) 226-8199

Other identifiers 1

IdentifierTypeStateIssuer
00P2P3OtherTXTXBCBS GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1891191573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760120102",
            "telephone_number": "817-226-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR STE 220",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393838",
            "telephone_number": "972-432-9191",
            "fax_number": "972-432-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "RESENDEZ",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "817-226-8199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXBCBS GROUP #",
            "identifier": "00P2P3",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.