Active NPI
Eugene Iorgov Jr., RD
- Registered Dietitian
- Corpus Christi, TX
National Provider Identifier
1972872778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DTR5116
- Practice address
- 6913 Monarch St
Corpus Christi, TX 78413-4342 - Phone
- (361) 850-1877
- NPI assigned
- Dec 22, 2011
- Last updated
- Dec 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DTR5116 | TX | Primary |
Addresses
Primary practice location
6913 Monarch St
Corpus Christi, TX 78413-4342
Mailing address
6913 Monarch St
Corpus Christi, TX 78413-4342
Phone (361) 850-1877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DTR5116 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1972872778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 MONARCH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784134342",
"telephone_number": "361-850-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 MONARCH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784134342",
"telephone_number": "361-850-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IORGOV",
"first_name": "EUGENE",
"name_suffix": "Jr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DTR5116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.