Organization Active NPI

Donald L Ferris DPM PC

  • Podiatrist
  • Bristol, TN
National Provider Identifier
1043412075
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0080963 Issued in TN
Legal business name
DONALD L FERRIS DPM PC
Practice address
350 Blountville Hwy
Ste 103
Bristol, TN 37620-1676
Phone
(423) 764-8741
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Donald Lee Ferris, DPM
Title
President
Phone
(423) 764-8741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0080963 TN Primary

Addresses

Primary practice location

350 Blountville Hwy
Ste 103
Bristol, TN 37620-1676

Mailing address

350 Blountville Hwy
Ste 103
Bristol, TN 37620-1676
Phone (423) 764-8741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1043412075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY",
            "address_2": "STE 103",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201676",
            "telephone_number": "423-764-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY",
            "address_2": "STE 103",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201676",
            "telephone_number": "423-764-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L FERRIS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-764-8741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "0080963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.