Jeffrey M Radack DPM PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

1617 Issued in TX

Legal business name

JEFFREY M RADACK DPM PLLC

Practice address

8951 Collin McKinney Pkwy Ste 603
McKinney, TX 75070-1007

Phone

(469) 742-0406

Fax

(469) 952-2806

NPI assigned

Feb 7, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey M. Radack, DPM

Title

Physician

Phone

(469) 742-0406

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1972835502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY STE 603",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701007",
            "telephone_number": "469-742-0406",
            "fax_number": "469-952-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY STE 603",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701007",
            "telephone_number": "469-742-0406",
            "fax_number": "469-952-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750192733",
            "country_code": "US",
            "telephone_number": "469-742-0406",
            "fax_number": "469-952-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY M RADACK DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-07",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "RADACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "469-742-0406",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6656030001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared D. Stringer, MD, PA
• Nandini Jasrotia, AUD
• Maria Mercedes Jasso, LVN
• Mehdi Jawad, DPT
• Amber Leigh Jaynes, DC
• Andrew Richard Jeffreys
• Erin Oler Jeffus, LCSW
• Donielle Johanna Jenkins, LPC
• Lakeesha Jenkins
• Jenks&Co LLC

• Podiatric Clinic/Center in McKinney, TX
• Providers in McKinney, TX by specialty
• Podiatric Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.