Organization Active NPI

David N Gasbarro

  • Podiatrist
  • Calumet City, IL
National Provider Identifier
1790128015
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016002449 Issued in IL
Legal business name
DAVID N GASBARRO
Practice address
518 Burnham Ave
Calumet City, IL 60409-3401
Phone
(708) 862-3030
Fax
(708) 862-3030
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
David N Gasbarro, DPM
Title
Owner
Phone
(708) 862-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016002449 IL Primary

Addresses

Primary practice location

518 Burnham Ave
Calumet City, IL 60409-3401

Mailing address

518 Burnham Ave
Calumet City, IL 60409-3401
Phone (708) 862-3030

National Provider Directory

National Provider Directory

Locations

518 Burnham Ave
Calumet City, IL 60409
Phone (708) 862-3030

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1790128015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 BURNHAM AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093401",
            "telephone_number": "708-862-3030",
            "fax_number": "708-862-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BURNHAM AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093401",
            "telephone_number": "708-862-3030",
            "fax_number": "708-862-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID N GASBARRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "GASBARRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-862-3030",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.