Darlo G. Vander Wilt, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

099 Issued in NM

Practice address

718 Lomas Blvd NW
Albuquerque, NM 87102-2073

Phone

(505) 843-6464

Fax

(505) 764-9210

NPI assigned

Jun 23, 2005

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 1

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 and National Provider Directory roles.

• Darlo G Vander Wilt DPM

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
  • NPI 1073752127
  NPD (past) Authorized official
• Santa Fe Radiology PC

  • Diagnostic Radiology Physician
  • Santa Fe, NM
  • NPI 1760402127
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1093711087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022073",
            "telephone_number": "505-843-6464",
            "fax_number": "505-764-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022073",
            "telephone_number": "505-843-6464",
            "fax_number": "505-764-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WILT",
        "first_name": "DARLO",
        "middle_name": "G.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F8031",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne D Vanarsdale-Imani, MD
• Erica Nicole Vanarsdale, MPH, APRN, FNP-BC
• Samantha Vance, SLP-CF
• Jordan Brooke Vancel, MD, MHS
• Rene B Vandenbrink, SLP
• Deborah Dawn Vanderhee, PHARMD
• Paula Vanderhee
• Hayley Vanderjagt, MS
• James M Vanderloop, D.C.
• Andrea D Vanderwoude, FNP-BC

• Podiatrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.