NPIMap

Organization Active NPI

Richard P. Jacoby DPM PC

  • Primary Podiatric Medicine Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1992091565
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
RICHARD P. JACOBY DPM PC
Practice address
9475 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4576
Phone
(480) 994-5977
Fax
(480) 672-2288
NPI assigned
Jun 22, 2011
Organization subpart
Yes
Parent organization
RICHARD P. JACOBY DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Richard Paul Jacoby, DPMNPI 1134106420
Title
Owner
Phone
(480) 994-5977

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

9475 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4576

Mailing address

4747 N Scottsdale Rd Ste C4005
Scottsdale, AZ 85251-7666
Phone (480) 994-5977

National Provider Directory

National Provider Directory
Tax ID family
Richard P Jacoby3 organizations share this tax ID, including this one
Part of
Richard P Jacoby

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1992091565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N SCOTTSDALE RD STE C4005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517666",
            "telephone_number": "480-994-5977",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-994-5977",
            "fax_number": "480-672-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. JACOBY DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD P. JACOBY DPM PC",
        "enumeration_date": "2011-06-22",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-994-5977",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.