Individual provider Active NPI

Deborah Ruth Saxby

  • Specialist
  • Dallas, OR
National Provider Identifier
1043593320
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16827 Issued in OR
Practice address
289 E Ellendale Ave
Suite 202
Dallas, OR 97338-1580
Phone
(503) 917-9434
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16827 OR Primary

Addresses

Primary practice location

289 E Ellendale Ave
Suite 202
Dallas, OR 97338-1580

Mailing address

PO Box 273
Dallas, OR 97338-0273
Phone (503) 917-9434

Other identifiers 1

IdentifierTypeStateIssuer
16827OtherORMASSAGE THERAPIST

Other names 1

  • Deborah Ruth Eshelby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16827ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah R Saxby Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1043593320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973380273",
            "telephone_number": "503-917-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE",
            "address_2": "SUITE 202",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381580",
            "telephone_number": "503-917-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXBY",
        "first_name": "DEBORAH",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "16827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "16827",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ESHELBY",
            "middle_name": "RUTH",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.