Organization Active NPI

Rivershore Foot & Ankle Clinic, Inc

  • Podiatrist
  • Astoria, OR
National Provider Identifier
1972734945
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RIVERSHORE FOOT & ANKLE CLINIC, INC
Practice address
2120 Exchange St Ste 110
Astoria, OR 97103-3322
Phone
(503) 325-5655
NPI assigned
Aug 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Dr. Nancy T Ray, DPMNPI 1942365234
Title
President
Phone
(503) 325-5655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2120 Exchange St Ste 110
Astoria, OR 97103-3322

Mailing address

2120 Exchange St Ste 110
Astoria, OR 97103-3322

National Provider Directory

National Provider Directory
Tax ID family
Rivershore Foot and Ankle Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1972734945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 110",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 110",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033322",
            "telephone_number": "503-325-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSHORE FOOT & ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-325-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.