DR. JOEL BRUCE DACUS D.P.M. NPI 1699034728

NPI Information

NPI: 1699034728
Provider Name: DR. JOEL BRUCE DACUS, D.P.M.
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
4444 HERITAGE TRACE PKWY STE 400
FORT WORTH, TX
ZIP 76244
Phone: (817) 424-3668
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DR. Joel Bruce Dacus, D.P.M. is a primary podiatric medicine podiatrist in Fort Worth, TX. DR. Joel Bruce Dacus, D.P.M. NPI is 1699034728. 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:

4444 HERITAGE TRACE PKWY STE 400
FORT WORTH, TX
ZIP 76244-944
Phone: (817) 424-3668
Fax: (817) 741-4001

The NPI 1699034728 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 5/9/2012 and was last updated on 8/30/2019.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	2003	TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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