Mark Dennis Homstad, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

395 Issued in MN

Practice address

6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673

Phone

(612) 788-8778

NPI assigned

Mar 16, 2006

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark D. Homstad, D.P.M., P.a.

  • Podiatrist
  • Duluth, MN
  • NPI 1710166541
  NPD (past) Authorized official
• Associated Podiatrists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Richfield, MN
  • NPI 1669647400
  NPD (past)
• Christopher Weis

  dba Associated Podiatrists

  • Foot & Ankle Surgery Podiatrist
  • Richfield, MN
  • NPI 1780871848
  NPD (past)
• Maplewood Podiatry, LLC

  • Podiatrist
  • Maplewood, MN
  • NPI 1023069259
  NPD (past)
• Dr. Hoffman & Associates, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Spirit Lake, IA
  • NPI 1740497627
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1043289580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 30",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232373",
            "telephone_number": "612-788-8778",
            "fax_number": "866-691-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 105",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232673",
            "telephone_number": "612-788-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMSTAD",
        "first_name": "MARK",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473525100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "86682HO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2700556",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Mathew Hillesheim, D.D.S.
• Marina Himmer, MA, LPCC
• Shantoya M Hodges
• Nancy Holmes
• Susan M Holt, M.D.
• Maria Ann Hone, M.S.CCC-SLP
• Beth C Hopkins, LICSW
• Horizon Science Academy Twin Cities
• Maryam Hosseini-Dehkordi, MD
• Housing Support Services, LLC

• Podiatrist in Richfield, MN
• Providers in Richfield, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.