Organization Active NPI

Richard M Adams DPM PA

  • Podiatrist
  • Granbury, TX
National Provider Identifier
1972641975
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1008 Issued in TX
Legal business name
RICHARD M ADAMS DPM PA
Practice address
1008 Paluxy Rd
Granbury, TX 76048-2397
Phone
(817) 573-7178
Fax
(817) 573-7471
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Richard Michael Adams, DPMNPI 1790730752
Title
Owner
Phone
(817) 573-7178

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1008 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1008 Paluxy Rd
Granbury, TX 76048-2397

Mailing address

1008 Paluxy Rd
Granbury, TX 76048-2397
Phone (817) 573-7178

Other identifiers 2

IdentifierTypeStateIssuer
0079QDOtherTXBCBS
DF4972OtherRR MEDICARE

Other names 1

  • Family Foot Care Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070214000080 TX Part B Supplier - Clinic/Group Practice 6709888167 Receives reassigned benefits from 3 practitioners
Practice locations: Granbury, TX
O20100930071938 TX DME Supplier - Physician - Podiatry 6709888167 Practice locations: Granbury, TX

National Provider Directory

National Provider Directory

Locations

1008 Paluxy Rd
Ste A
Granbury, TX 76048
Phone (817) 573-7178

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8b5675f4-fabf-49b9-90d5-2630480a3d7a/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1972641975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482397",
            "telephone_number": "817-573-7178",
            "fax_number": "817-573-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482397",
            "telephone_number": "817-573-7178",
            "fax_number": "817-573-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M ADAMS DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-573-7178",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1008",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0079QD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF4972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.