Individual provider Active NPI

Peter Thomas Vannucchi, DPM

  • Podiatrist
  • Dallas, TX
National Provider Identifier
1932294089
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0464 Issued in TX
Practice address
10611 Garland Road
Suite 202
Dallas, TX 75218
Phone
(214) 328-9425
Fax
(214) 328-9426
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0464 TX Primary

Addresses

Primary practice location

10611 Garland Road
Suite 202
Dallas, TX 75218

Mailing address

10611 Garland Road
Suite 202
Dallas, TX 75218
Phone (214) 328-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0464TXMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1932294089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 GARLAND ROAD",
            "address_2": "SUITE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "214-328-9425",
            "fax_number": "214-328-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND ROAD",
            "address_2": "SUITE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "214-328-9425",
            "fax_number": "214-328-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNUCCHI",
        "first_name": "PETER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.