Active NPI
Richard S. Eby, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Chattanooga, TN
National Provider Identifier
1548304405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- DPM000238
- Practice address
- 3603 E Ringgold Rd
Chattanooga, TN 37412-1247 - Phone
- (423) 622-2663
- Fax
- (423) 622-8172
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | DPM000238 | TN | Primary |
Addresses
Primary practice location
3603 E Ringgold Rd
Chattanooga, TN 37412-1247
Mailing address
3603 E Ringgold Rd
Chattanooga, TN 37412-1247
Phone (423) 622-2663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3351059 | Medicaid | TN | |
| 6364350002 | Other | TN | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1548304405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 E RINGGOLD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374121247",
"telephone_number": "423-622-2663",
"fax_number": "423-622-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 E RINGGOLD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374121247",
"telephone_number": "423-622-2663",
"fax_number": "423-622-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBY",
"first_name": "RICHARD",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "TN",
"license": "DPM000238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351059",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "6364350002",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.