NPIMap

Organization Active NPI

Richard P. Jacoby, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • Buckeye, AZ
National Provider Identifier
1043088966
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
RICHARD P. JACOBY, DPM, PC
Practice address
825 S Watson Rd Ste 107
Buckeye, AZ 85326-3435
Phone
(480) 994-5977
NPI assigned
Dec 20, 2023
Organization subpart
Yes
Parent organization
RICHARD P. JACOBY, DPM, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Paul Jacoby, DPMNPI 1134106420
Title
Owner/Ceo
Phone
(480) 994-5977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

825 S Watson Rd Ste 107
Buckeye, AZ 85326-3435

Mailing address

4747 N Scottsdale Rd Ste C4005
Scottsdale, AZ 85251-7666
Phone (480) 994-5977

Other names 1

  • Extremity Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Richard P Jacoby3 organizations share this tax ID, including this one
Part of
Richard P Jacoby

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1043088966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N SCOTTSDALE RD STE C4005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517666",
            "telephone_number": "480-994-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S WATSON RD STE 107",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263435",
            "telephone_number": "480-994-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. JACOBY, DPM, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD P. JACOBY, DPM, PC",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-994-5977",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extremity Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.