OrganizationActive
Eddie Davis DPM PLLC
NPI 1780578872 · Non-Pharmacy Dispensing Site · San Antonio, TX
Provider details
- NPI number
- 1780578872
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Rosalie Kreighbaum, Regional Credentialing Specialist(314) 909-1920
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 Gallery Cir Ste 119
San Antonio, TX 78258-3328
Phone: (210) 490-3668
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 825159
Philadelphia, PA 19182-5159
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.