Active NPI
Rex D Smith, D.P.M.
- Podiatrist
- Eugene, OR
National Provider Identifier
1649384298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP00142
- Practice address
- 1060 Chambers St
Eugene, OR 97402-3745 - Phone
- (541) 342-3373
- Fax
- (541) 342-3374
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DP00142 | OR | Primary |
Addresses
Primary practice location
1060 Chambers St
Eugene, OR 97402-3745
Mailing address
1060 Chambers St
Eugene, OR 97402-3745
Phone (541) 342-3373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22733-0 | Medicaid | OR | |
| 831296000 | Other | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| DP00142 | OR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan K Anderson D P M P C | Podiatrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Foot & Ankle Specialists of Utah
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1649384298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CHAMBERS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023745",
"telephone_number": "541-342-3373",
"fax_number": "541-342-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CHAMBERS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023745",
"telephone_number": "541-342-3373",
"fax_number": "541-342-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "REX",
"middle_name": "D",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP00142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22733-0",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "831296000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.