1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

SOUTH SIDE FOOT CLINIC
NPI 1700014214
Durable Medical Equipment & Medical Supplies in Fort Worth, TX

Active since June 24, 2009
4759 SOUTH FWY STE B, FORT WORTH, TX 76115(817) 923-1953(817) 923-9615 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About South Side Foot Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SIDE FOOT CLINIC (NPI 1700014214) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Worth, Texas and active in the NPI registry since June 2009. The organization lists Vickie Khanna, President, as its authorized official.

NPPES Registry Identity

NPI1700014214
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTH SIDE FOOT CLINIC
Location Address4759 SOUTH FWY STE BFort Worth, TX 76115-3655
Mailing Address4759 South Fwy Ste BFort Worth, TX 76115-3655 · (817) 923-1953 · Fax (817) 923-9615
Phone(817) 923-1953
Fax(817) 923-9615
Organization SubpartNo
Authorized OfficialVickie KhannaPresident · (817) 923-1953
Enumeration DateJune 24, 2009
✔ NPI 1700014214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4759 SOUTH FWY STE B, Fort Worth, TX 76115
Open in Google Maps ↗

Other Identifiers 2

Medicaid186646901TX
Medicare PIN5851170001TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERVENTIONAL PARTNERS PLLC
Durable Medical Equipment & Medical Supplies
4759 SOUTH FWY STE B
FORT WORTH, TX 76115
Tarrant County (817) 923-1953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Side Foot Clinic's NPI number?

The NPI number for South Side Foot Clinic is 1700014214. It was assigned to this organization in the NPPES registry on June 24, 2009.

Where is South Side Foot Clinic located?

South Side Foot Clinic is located at 4759 South Fwy Ste B, Fort Worth, TX 76115. The listed phone number is (817) 923-1953.

What is South Side Foot Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for South Side Foot Clinic was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.