Organization Active NPI

Richard S Eby DPM

  • Podiatrist
  • Jasper, TN
National Provider Identifier
1811274624
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0000000238 Issued in TN
Legal business name
RICHARD S EBY DPM
Practice address
11A Courthouse SQ
Jasper, TN 37347-3531
Phone
(423) 942-6604
Fax
(423) 622-8172
NPI assigned
Nov 8, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Richard S Eby, DPM
Title
Owner
Phone
(423) 942-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM0000000238 TN Primary

Addresses

Primary practice location

11A Courthouse SQ
Jasper, TN 37347-3531

Mailing address

11A Courthouse SQ
Jasper, TN 37347-3531
Phone (423) 942-6604

National Provider Directory

National Provider Directory

Locations

3603 Ringgold Rd
East Ridge, TN 37412
Phone (423) 622-2663

11A Courthouse Sq
Jasper, TN 37347
Phone (423) 942-6604

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1811274624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11A COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473531",
            "telephone_number": "423-942-6604",
            "fax_number": "423-622-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11A COURTHOUSE SQ",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473531",
            "telephone_number": "423-942-6604",
            "fax_number": "423-622-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S EBY DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-942-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.