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Justin G. Wade, DPM

Podiatrist, Foot & Ankle Surgery in Mesquite, TX. Individual provider (NPI-1).

NPI number1770744211
StatusActive
Last updated in NPPESFeb 2, 2026

Details

NPI
1770744211
Entity type
Individual (NPI-1)
Name
Justin G. Wade
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2008
Certification date
Feb 2, 2026
Last updated
Feb 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PODIATRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery1972TXYes

Practice location

1601 N Belt Line Rd
Suite A
Mesquite, TX 75149-1790

Phone 972-288-7441

Mailing address

8135 Forest Ln # 515057
Dallas, TX 75230-2472

Other practice locations

124 East Hwy. 80, Ste. 104
Forney, TX 75126

Phone 972-552-5599

874 Ed Hall Dr Ste 111
Kaufman, TX 75142-1800

Phone 972-288-9034

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Foot & Ankle Surgery Podiatrist providers in Mesquite, TX

All 11 Foot & Ankle Surgery Podiatrist providers in Mesquite · All 2,371 providers in Mesquite

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