NPIMap

Organization Active NPI

Academy Foot & Ankle Specialists at Highland Village PLLC

  • Foot & Ankle Surgery Podiatrist
  • Flower Mound, TX
National Provider Identifier
1932493574
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2176 Issued in TX
Legal business name
ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC
Practice address
5810 Long Prairie Road
Suite 400
Flowermound, TX 75028
Phone
(817) 424-3668
Fax
(817) 442-8637
NPI assigned
May 31, 2011
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Paul Thomas Marciano, DPMNPI 1558321810
Title
Owner
Phone
(817) 424-3668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1364 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 2176 TX Primary

Addresses

Primary practice location

5810 Long Prairie Road
Suite 400
Flowermound, TX 75028

Mailing address

1940 West Highway 114
Suite 150
Southlake, TX 76092
Phone (817) 424-3668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1932493574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 WEST HIGHWAY 114",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 LONG PRAIRIE ROAD",
            "address_2": "SUITE 400",
            "city": "FLOWERMOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-424-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1364",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.