MUSTAFA MUSTAFA DPM
NPI 1104529015
Podiatrist - Foot & Ankle Surgery in Southlake, TX
NPI Status: Active since March 22, 2023
Contact Information
1940 E STATE HIGHWAY 114
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 424-3668
Fax: (817) 442-8637
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
About MUSTAFA MUSTAFA
This page provides the complete NPI Profile along with additional information for Mustafa Mustafa, a provider established in Southlake, Texas with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1104529015 assigned on March 2023. The practitioner's primary taxonomy code is 213ES0103X with license number 692306 (TX). The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1104529015
- Provider Name
- MUSTAFA MUSTAFA DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1940 E STATE HIGHWAY 114 SOUTHLAKE, TX 76092
- Location Phone
- (817) 424-3668
- Location Fax
- (817) 442-8637
- Mailing Address
- 1940 E STATE HIGHWAY 114 SOUTHLAKE, TX 76092
- Mailing Phone
- (817) 424-3668
- Mailing Fax
- (817) 442-8637
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-22-2023
- Last Update Date
- 06-01-2026
- Code Navigator
Location Map
Secondary Locations
- 22201 Moross Rd Ste 250
Detroit, MI 48236
(313) 343-3423
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 692306
- License State
- TX
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104529015, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SOUTHLAKE, TX 76092
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104529015, enumerated as an "individual" on March 22, 2023.
The provider is located at 1940 E STATE HIGHWAY 114 SOUTHLAKE, TX 76092 and the phone number is (817) 424-3668.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
