J.C. Tanenbaum, DPM, PA, and Associates

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1691 Issued in TX

Legal business name

J.C. TANENBAUM, DPM, PA, AND ASSOCIATES

Practice address

305 Sandy Corner Rd
Suite 220
El Campo, TX 77437-9693

Phone

(979) 245-9500

Fax

(979) 323-7370

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Richard Scott Kobylar, DPM

Title

Owner

Phone

(979) 245-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard Scott Kobylar, DPM Other name

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1861685059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143013",
            "telephone_number": "979-245-9500",
            "fax_number": "979-323-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SANDY CORNER RD",
            "address_2": "SUITE 220",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379693",
            "telephone_number": "979-245-9500",
            "fax_number": "979-323-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. TANENBAUM, DPM, PA, AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "KOBYLAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-245-9500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181694401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Scott Kobylar, DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in El Campo, TX
• Providers in El Campo, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.