NPI age
19 years
Enumerated 2006-06-28
● Active
Type 1 · Individual
DR. Alan Ettinger, DPM PA
Ettinger is 1 of 3 podiatrist providers in Fort Worth and 1 of 93 in Texas.
Primary specialty
Podiatrist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-10-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 93 active podiatrist providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1001 12th St Ste 104
Fort Worth, TX 761043928
Mailing address
1001 12th St Ste 104
Fort Worth, TX 761043928
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 092827702 | |
| 01 (TX) | 4097506 | AETNA |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.