South Austin Foot Associates PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0823 Issued in TX

Legal business name

SOUTH AUSTIN FOOT ASSOCIATES PC

Practice address

5656 Bee Caves Rd Ste D204
West Lake Hills, TX 78746-5236

Phone

(512) 447-2025

Fax

(512) 447-4968

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dennis L Berger, DPM

Title

President

Phone

(512) 447-2025

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• South Clinic Foot Clinic A Professional Corporation Former legal business name

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1992816912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-447-2025",
            "fax_number": "512-447-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-447-2025",
            "fax_number": "512-447-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AUSTIN FOOT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-447-2025",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0823",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00DG46",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0821688-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- INDIVIDUAL",
            "identifier": "1497805980",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- INDIVIDUAL",
            "identifier": "1083764419",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Clinic Foot Clinic A Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "South Clinic Foot Clinic A Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Podiatrist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.