Active NPI
Roy Paul Tarr, D.P.M.
- Podiatrist
- Milton, MA
National Provider Identifier
1558364182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1475
- Practice address
- 100 Highland St
Ste 122
Milton, MA 02186-3878 - Phone
- (617) 698-4830
- Fax
- (617) 698-3668
- NPI assigned
- May 27, 2005
- Last updated
- Nov 10, 2010
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1475 | MA | Primary |
Addresses
Primary practice location
100 Highland St
Ste 122
Milton, MA 02186-3878
Mailing address
100 Highland St
Ste 122
Milton, MA 02186-3878
Phone (617) 698-4830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330183 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | MA | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Milton, MA
- NPI 1962685891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1558364182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGHLAND ST",
"address_2": "STE 122",
"city": "MILTON",
"state": "MA",
"postal_code": "021863878",
"telephone_number": "617-698-4830",
"fax_number": "617-698-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLAND ST",
"address_2": "STE 122",
"city": "MILTON",
"state": "MA",
"postal_code": "021863878",
"telephone_number": "617-698-4830",
"fax_number": "617-698-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARR",
"first_name": "ROY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0330183",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.