DR. PETER R DEFRANK DPM NPI 1629044144

NPI Information

NPI: 1629044144
Provider Name: DR. PETER R DEFRANK, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
7709 ALTO CARO DR
DALLAS, TX
ZIP 75248
Phone: (214) 866-5313
Get Directions

DR. Peter R Defrank, DPM is a foot surgery podiatrist in Dallas, TX. DR. Peter R Defrank, DPM NPI is 1629044144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7709 ALTO CARO DR
DALLAS, TX
ZIP 75248-303
Phone: (214) 866-5313
Fax: (972) 947-3976

The NPI 1629044144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/24/2006 and was last updated on 3/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		0866	TEXAS	No
2	213ES0131X	Podiatrist	Foot Surgery	0866	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112216010	MEDICAID	TEXAS
2	311436YPT7	MEDICARE PIN	TEXAS
3	00G409	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	112216007	MEDICAID	TEXAS
5	311436YPRE	MEDICARE PIN	TEXAS
6	311436YUM7	MEDICARE PIN	TEXAS
7	112216009	MEDICAID	TEXAS
8	112216008	MEDICAID	TEXAS
9	311436YR1K	MEDICARE PIN	TEXAS
10	75-2018765	OTHER	TEXAS	TAX ID
11	T12977	MEDICARE UPIN	TEXAS
12	P01242887	OTHER	TEXAS	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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