Organization Active NPI

Arlington Mansfield Foot & Ankle Centers, PA

  • Foot & Ankle Surgery Podiatrist
  • Mansfield, TX
National Provider Identifier
1962708792
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA
Practice address
1001 Matlock Rd Ste 103
Mansfield, TX 76063
Phone
(817) 467-1990
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Joe Southerland, DPM
Title
DPM/Owner
Phone
(817) 467-1990

Specialties & licenses 1

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

Addresses

Primary practice location

1001 Matlock Rd Ste 103
Mansfield, TX 76063

Mailing address

400 W Arbrook Blvd
Suite 201
Arlington, TX 76014-3174
Phone (817) 467-1990

Other names 1

  • Mansfield Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

400 W Arbrook Blvd
Ste 201
Arlington, TX 76014
Phone (817) 467-1990

1001 Matlock Rd
Ste 103
Mansfield, TX 76063
Phone (817) 467-1990

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1962708792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-467-1990",
            "fax_number": "817-466-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MATLOCK RD STE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-467-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "817-467-1990",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mansfield Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.