Active NPI
Richard W. Peffley, DPM, a
- Foot & Ankle Surgery Podiatrist
- Salem, OR
National Provider Identifier
1346213832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DP00219
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065941 | Medicaid | OR |
Other names 1
- Salem Foot Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Eugene, OR
- NPI 1164410148
-
- Foot & Ankle Surgery Podiatrist
- Salem, OR
- NPI 1497918585
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.