OrganizationActive
South Side Foot Clinic Inc.
NPI 1205980232 · Podiatrist · Fort Worth, TX
South Side Foot Clinic Inc. is a Podiatrist organization in Fort Worth, TX (NPI 1205980232).
Provider details
- NPI number
- 1205980232
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Vickie Khanna, Secretary(817) 923-1953
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4759 South Fwy
Suite B
Fort Worth, TX 76115-3655
Phone: (817) 923-1953
Fax: (817) 923-9615
Street-level locationGet directions
Mailing address
4759 South Fwy
Fort Worth, TX 76115-3655
Other names (DBA / former)
- Doing business as
- South Side Med Ex
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2013-10-10
Frequently asked questions
- What is South Side Foot Clinic Inc.'s NPI number?
- South Side Foot Clinic Inc.'s National Provider Identifier (NPI) is 1205980232, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Side Foot Clinic Inc.?
- South Side Foot Clinic Inc. is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is South Side Foot Clinic Inc. located?
- South Side Foot Clinic Inc.'s practice location on file with NPPES is 4759 South Fwy, Fort Worth, TX 76115-3655.
- What is South Side Foot Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for South Side Foot Clinic Inc. is (817) 923-1953.
- Who is the authorized official for South Side Foot Clinic Inc.?
- The authorized official listed on South Side Foot Clinic Inc.'s NPPES record is Vickie Khanna, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Side Foot Clinic Inc.'s NPI active?
- Yes — South Side Foot Clinic Inc.'s NPI (1205980232) is active in the NPPES registry as of the last update on 2013-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.