Travis Reber DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

AZ0659 Issued in AZ

Legal business name

TRAVIS REBER DPM PLLC

Practice address

940 N Switzer Canyon Dr Ste 102
Flagstaff, AZ 86001-4852

Phone

(928) 779-5111

Fax

(928) 779-1374

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Travis K Reber, DPMNPI 1952436446

Title

Owner

Phone

(928) 779-5111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Travis Kelly Reber, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Flagstaff, AZ
  • NPI 1952436446
  Medicare reassignment Care Compare group NPD Authorized official
• Nicolette E Dragony-Goff, APRN

  • Family Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1952298770
  Medicare reassignment Care Compare group NPD
• Tyler Reber, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flagstaff, AZ
  • NPI 1619499316
  Medicare reassignment Care Compare group NPD
• Kelly Reber, DPM

  • Podiatrist
  • Flagstaff, AZ
  • NPI 1962403311
  Medicare reassignment

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1346541117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CANYON DR STE 102",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-779-5111",
            "fax_number": "928-779-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CANYON DR STE 102",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-779-5111",
            "fax_number": "928-779-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS REBER DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-779-5111",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "AZ0659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "DR3909",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.