Organization Active NPI

E Steven Damon, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Enfield, CT
National Provider Identifier
1497923734
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
000035 Issued in CT
Legal business name
E STEVEN DAMON, D.P.M.
Practice address
64 Palomba Dr
Enfield, CT 06082-3844
Phone
(860) 745-6248
Fax
(860) 741-2482
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. E Steven Damon, D.P.M.
Title
Owner
Phone
(860) 745-6248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 000035 CT Primary

Addresses

Primary practice location

64 Palomba Dr
Enfield, CT 06082-3844

Mailing address

64 Palomba Dr
Enfield, CT 06082-3844
Phone (860) 745-6248

Other identifiers 1

IdentifierTypeStateIssuer
4006102MedicaidCT

National Provider Directory

National Provider Directory

Locations

64 Palomba Dr
Ste 1
Enfield, CT 06082

64 Palomba Dr
Ste 7
Enfield, CT 06082
Phone (860) 745-6248

64 Palomba Dr
Enfield, CT 06082
Phone (860) 745-2712

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1497923734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823844",
            "telephone_number": "860-745-6248",
            "fax_number": "860-741-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823844",
            "telephone_number": "860-745-6248",
            "fax_number": "860-741-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E STEVEN DAMON, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-745-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4006102",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.