Individual provider Active NPI

Dennis James Springer, DPM

  • Podiatrist
  • North Canton, OH
National Provider Identifier
1043312531
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2001 Issued in OH
Practice address
1266 S Main St
North Canton, OH 44720-4271
Phone
(330) 494-2700
Fax
(330) 494-6898
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2001 OH Primary

Addresses

Primary practice location

1266 S Main St
North Canton, OH 44720-4271

Mailing address

1266 S Main St
North Canton, OH 44720-4271
Phone (330) 494-2700

Other identifiers 2

IdentifierTypeStateIssuer
4389870001OtherOHADMINISTAR DMERC B
0471109MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000958 OH Practitioner - Podiatry 3971546474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6525 Market Ave N
Suite 100
Canton, OH 44721-4400
Phone (330) 494-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions51
Removal of nail tissue541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Center, Inc Podiatrist CurrentSince Dec 31, 1975 Accepting new patients
Universal Medical Administration Podiatrist Past Accepting new patients

Locations

6525 Market Ave N
Ste 100
North Canton, OH 44721
Phone (330) 494-2700

1266 S Main St
North Canton, OH 44720
Phone (330) 494-2700

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1043312531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204271",
            "telephone_number": "330-494-2700",
            "fax_number": "330-494-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204271",
            "telephone_number": "330-494-2700",
            "fax_number": "330-494-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR DMERC B",
            "identifier": "4389870001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.