Individual provider Active NPI

Robert Tucker Spalding Jr., DPM

  • Primary Podiatric Medicine Podiatrist
  • Signal Mountain, TN
National Provider Identifier
1760410260
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
TN528 Issued in TN
Practice address
1225 Taft Hwy
Signal Mountain, TN 37377-3251
Phone
(423) 756-3668
Fax
(423) 886-1142
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X TN528 TN Primary
Sports Medicine Podiatrist 213ES0000X TN528 TN

Addresses

Primary practice location

1225 Taft Hwy
Signal Mountain, TN 37377-3251

Mailing address

1225 Taft Hwy
Signal Mountain, TN 37377-3251
Phone (423) 756-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216001080 TN Practitioner - Podiatry 8628266624 Practice locations: Signal Mountain, TN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1225 Taft Hwy
Signal Mountain, TN 37377-3251
Phone (423) 756-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions20
Removal of nail tissue742
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN528TNMDPrimary Podiatric Medicine Podiatrist
528TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert T Spalding Jr DPM Area Podiatry Centers Primary Podiatric Medicine PastSince Aug 7, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robertspalding@rtsjd-tn.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1760410260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 TAFT HWY",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773251",
            "telephone_number": "423-756-3668",
            "fax_number": "423-886-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 TAFT HWY",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773251",
            "telephone_number": "423-756-3668",
            "fax_number": "423-886-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "ROBERT",
        "middle_name": "TUCKER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TN",
            "license": "TN528",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TN",
            "license": "TN528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Mountain, TN

Sources for this page

Verify at the official NPI Registry.