Provider Demographics
NPI:1447296843
Name:SAPPINGTON, DAVID CARL (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CARL
Last Name:SAPPINGTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7447
Mailing Address - Country:US
Mailing Address - Phone:254-300-7703
Mailing Address - Fax:254-300-7709
Practice Address - Street 1:2524 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7447
Practice Address - Country:US
Practice Address - Phone:254-300-7703
Practice Address - Fax:254-300-7709
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300863213E00000X
TX2222213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E4Z4OtherBCBSTX GROUP RECORD #
TX8FX246OtherBCBS TX
VAP00061148OtherMEDICARE RAILROAD
TXPENDINGOtherUNITED HEALTH CARE
TX1184078479OtherCIGNA
VA2217390OtherCIGNA
VA2730684OtherUNITED HEALTH CARE
VA3314346OtherAETNA HMO
TXPENDINGOtherTRICARE
TX3647661-04OtherMEDICAID CSHCN - GROUP
VA4605650001OtherADMINISTAR
VA1245251917OtherGROUP NPI
VA3119447OtherMAMSI
TX3647661Medicaid
TX3647661-03OtherMEDICAID GROUP API
TX8FX246OtherBCBSTX - PROVIDER RECORD #
TX00E4Z4OtherBCBS TX RECORD
TX1184078479OtherSCOTT & WHITE
TX1447296843OtherSCOTT & WHITE
TXPENDINGOtherTRICARE