NPI age
20 years
Enumerated 2005-09-23
● Active
Type 1 · Individual
Dorian Louis Jimenez, D.P.M.
Jimenez is 1 of 8 podiatrist providers in Southlake and 1 of 957 in Texas.
Primary specialty
Podiatrist
Plus 2 subspecialties
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 957 active podiatrist providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
1940 Hwy 114 Suite 150
Southlake, TX 76092
Mailing address
1940 Hwy 114 Suite 150
Southlake, TX 760923084
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
3840 Peachtree Industrial Blvd, Suite 200
Duluth, GA 300965031
Location 3
2295 Parklake Dr Ne Ste 150
Atlanta, GA 303452825
Location 4
11459 Johns Creek Pkwy Ste 260
Johns Creek, GA 300973517
Specialties
-
Podiatrist PrimaryA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
-
PodiatristDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 582964905A | |
| 01 (GA) | P00427172 | RAILROAD MEDICARE PTAN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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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.