Organization provider

EDDIE DAVIS, DPM, PLLC

Podiatrist Foot & Ankle Surgery Podiatrist Durable Medical Equipment & Medical Supplies Medicare enrolled

EDDIE DAVIS, DPM, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114179884, based in San Antonio, TX. The organization lists 3 taxonomy classifications, with Podiatrist recorded as primary.

Getting there

The practice address on file is 109 GALLERY CIR STE 119, San Antonio, TX 78258. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

109 GALLERY CIR STE 119, San Antonio, TX 78258 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5991868291

Enrolled in Medicare 2 times, across 1 state:

StateEnrollment IDProvider type
Texas O20090113000603 Part B Supplier - Clinic/group Practice
Texas O20130226000439 Dme Supplier - Physician - Podiatry

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Podiatrist covers

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NUCC Health Care Provider Taxonomy, code 213E00000X
Podiatric Medicine & Surgery Service Providers Podiatrist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
213E00000X Podiatrist primary
213ES0103X Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery
332B00000X Durable Medical Equipment & Medical Supplies

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1114179884 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 14, 2008
Last updatedFeb 26, 2025
StatusActive
Practice address 109 GALLERY CIR STE 119
San Antonio, TX 78258
(210) 490-3668
Fax (210) 267-5262
Other identifiers 2094732 GROUP · Medicaid (TX)
This record was updated on Feb 26, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1114179884 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 1 7 9 8 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 2 7 9 8 7

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114179884?
NPI 1114179884 is the National Provider Identifier assigned to EDDIE DAVIS, DPM, PLLC in San Antonio, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Podiatrist cover?
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and…
How do I contact EDDIE DAVIS, DPM, PLLC?
The phone number on file with NPPES is (210) 490-3668, last updated Feb 26, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does EDDIE DAVIS, DPM, PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114179884 a valid number?
Yes. 1114179884 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.