Organization Active NPI

Robert L Sams

  • Durable Medical Equipment & Medical Supplies
  • Elizabethton, TN
National Provider Identifier
1578721957
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TNO361 Issued in TN
Legal business name
ROBERT L SAMS
Practice address
114 S Sycamore St
Elizabethton, TN 37643-3339
Phone
(423) 543-3421
Fax
(423) 543-7099
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Robert L Sams, OPTOMERIST
Title
Doctor
Phone
(423) 543-3421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TNO361 TN Primary

Addresses

Primary practice location

114 S Sycamore St
Elizabethton, TN 37643-3339

Mailing address

114 S Sycamore St
Elizabethton, TN 37643-3339
Phone (423) 543-3421

Other identifiers 1

IdentifierTypeStateIssuer
03518029MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1578721957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S SYCAMORE ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433339",
            "telephone_number": "423-543-3421",
            "fax_number": "423-543-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S SYCAMORE ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433339",
            "telephone_number": "423-543-3421",
            "fax_number": "423-543-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "SAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "423-543-3421",
        "authorized_official_credential": "OPTOMERIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "TNO361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03518029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.