NPI age
9 years
Enumerated 2016-06-24
● Active
Type 1 · Individual
DR. Preston John Panicco, DPM
Panicco is 1 of 99 podiatrist providers in San Antonio and 1 of 1136 in Texas.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
NV, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1136 active podiatrist providers in Texas.
NPI age
9 years
↓ 5 yr below median (14 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
14615 San Pedro Ave Ste 160
San Antonio, TX 782324364
Mailing address
8042 Wurzbach Rd Ste 450
San Antonio, TX 782293808
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
8205 W Warm Springs Rd Ste 250
Las Vegas, NV 891133646
Location 3
2930 W Horizon Ridge Pkwy Ste 100
Henderson, NV 890525059
Location 4
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 891213609
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NV) | 11467803064 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.