NPI Code Detail JSON Logo

1063788735 NPI number — SHEVER FOOT SPECIALISTS PA

NPI Number: 1063788735
Health Care Provider/Practitioner: SHEVER FOOT SPECIALISTS PA

Information about “1063788735” NPI (SHEVER FOOT SPECIALISTS PA) exists in 1063788735 in HTML format HTML  |  1063788735 in plain Text format TXT  |  1063788735 in PDF (Portable Document Format) PDF  |  1063788735 in an XML format XML  formats.

NPI Number : 1063788735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063788735",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHEVER FOOT SPECIALISTS PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4582 KINGWOOD DR",
    "SecondLineMailingAddress": "SUITE E#142",
    "MailingAddressCityName": "KINGWOOD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77345-2640",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-862-9503",
    "MailingAddressFaxNumber": "281-862-9421",
    "FirstLinePracticeLocationAddress": "15055 EAST FWY",
    "SecondLinePracticeLocationAddress": "SUITE A20",
    "PracticeLocationAddressCityName": "CHANNELVIEW",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77530-4144",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-862-9503",
    "PracticeLocationAddressFaxNumber": "281-862-9241",
    "EnumerationDate": "03/28/2012",
    "LastUpdateDate": "03/28/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHEVER",
    "AuthorizedOfficialFirstName": "SEPIDEH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPM",
    "AuthorizedOfficialTelephoneNumber": "281-862-9503",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213E00000X",
        "TaxonomyName": "Podiatrist",
        "LicenseNumber": "1743",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.