NPIMap

Organization Active NPI

Roger G Moblad DPM

  • Customized Equipment (DME)
  • Kerrville, TX
National Provider Identifier
1558531558
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ROGER G MOBLAD DPM
Practice address
224 Wesley Dr
Kerrville, TX 78028-5809
Phone
(830) 257-7677
Fax
(830) 257-7666
NPI assigned
Mar 5, 2008
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Roger G Moblad, DPMNPI 1467553875
Title
Owner
Phone
(830) 257-7677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

224 Wesley Dr
Kerrville, TX 78028-5809

Mailing address

224 Wesley Dr
Kerrville, TX 78028-5809
Phone (830) 257-7677

Other identifiers 1

IdentifierTypeStateIssuer
092829301MedicaidTX

National Provider Directory

National Provider Directory

Locations

224 Wesley Dr
Kerrville, TX 78028
Phone (830) 257-2677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1558531558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WESLEY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285809",
            "telephone_number": "830-257-7677",
            "fax_number": "830-257-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WESLEY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285809",
            "telephone_number": "830-257-7677",
            "fax_number": "830-257-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER G MOBLAD DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "MOBLAD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-257-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092829301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.