Organization Active NPI

North Texas Podiatry Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Euless, TX
National Provider Identifier
1942323175
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
TX1421 Issued in TX
Legal business name
NORTH TEXAS PODIATRY ASSOCIATES PA
Doing business as
North Texas Podiatry Associates PA
Practice address
401 Westpark Way
Euless, TX 76040-3957
Phone
(817) 283-5151
Fax
(817) 283-8360
NPI assigned
Apr 10, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Jeffrey Patrick Taylor, D.P.M.NPI 1245214717
Title
Owner
Phone
(817) 283-5151

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
Foot & Ankle Surgery Podiatrist 213ES0103X TX1421 TX Primary

Addresses

Primary practice location

401 Westpark Way
Euless, TX 76040-3957

Mailing address

401 Westpark Way
Euless, TX 76040-3957
Phone (817) 283-5151

Other identifiers 2

IdentifierTypeStateIssuer
018579501MedicaidTX
1245214717OtherTXINDIV NPI

Other names 1

  • NORTH TEXAS PODIATRY ASSOCIATES PA Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071221000079 TX Part B Supplier - Clinic/Group Practice 0749239341 Receives reassigned benefits from 4 practitioners
Practice locations: Euless, TX
O20100930004750 TX DME Supplier - Physician - Podiatry 0749239341 Practice locations: Euless, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2285792North Texas Podiatry Associates401 Westpark Way, Euless, TX 76040ComplianceMay 8, 2028

National Provider Directory

National Provider Directory

Locations

1301 Airport Fwy
Bedford, TX 76021
Phone (817) 283-5151

Practitioners & affiliated clinicians

Practitioners 5

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1942323175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-283-5151",
            "fax_number": "817-283-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-283-5151",
            "fax_number": "817-283-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS PODIATRY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-283-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "TX1421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018579501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1245214717",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH TEXAS PODIATRY ASSOCIATES PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.