Organization Active NPI

Richard W. Peffley, DPM, a

  • Foot & Ankle Surgery Podiatrist
  • Salem, OR
National Provider Identifier
1346213832
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00219 Issued in OR
Legal business name
RICHARD W. PEFFLEY, DPM, A
Practice address
350 Miller St SE
Salem, OR 97302-4248
Phone
(503) 370-8784
Fax
(503) 362-4017
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Richard W Peffley II, DPM
Title
Owner
Phone
(503) 370-8784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DP00219 OR Primary

Addresses

Primary practice location

350 Miller St SE
Salem, OR 97302-4248

Mailing address

350 Miller St SE
Salem, OR 97302-4248
Phone (503) 370-8784

Other identifiers 1

IdentifierTypeStateIssuer
065941MedicaidOR

Other names 1

  • Salem Foot Clinic Doing business as

National Provider Directory

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": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1346213832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024248",
            "telephone_number": "503-370-8784",
            "fax_number": "503-362-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024248",
            "telephone_number": "503-370-8784",
            "fax_number": "503-362-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. PEFFLEY, DPM, A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "PEFFLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-370-8784",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065941",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.