Active NPI
Richard S Eby DPM
- Podiatrist
- Jasper, TN
National Provider Identifier
1811274624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM0000000238
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.