Organization Active NPI

F. Keith Nebeker, D.P.M., PC

  • Foot & Ankle Surgery Podiatrist
  • Reno, NV
National Provider Identifier
1699149682
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2013 Issued in NV
Legal business name
F. KEITH NEBEKER, D.P.M., PC
Practice address
10463 Double R Blvd Ste 100
Reno, NV 89521-8908
Phone
(775) 358-2542
NPI assigned
Nov 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Franklin NebekerNPI 1760748487
Title
President
Phone
(216) 644-3654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2013 NV Primary

Addresses

Primary practice location

10463 Double R Blvd Ste 100
Reno, NV 89521-8908

Mailing address

10463 Double R Blvd Ste 100
Reno, NV 89521-8908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116000781 NV Part B Supplier - Clinic/Group Practice 5496014672 Receives reassigned benefits from 3 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

10463 Double R Blvd
Ste 100
Reno, NV 89521
Phone (775) 355-8812

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1699149682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 DOUBLE R BLVD STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 DOUBLE R BLVD STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218908",
            "telephone_number": "775-358-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. KEITH NEBEKER, D.P.M., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "NEBEKER",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-644-3654"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.