Individual provider Active NPI

Nathan Craig Dikes, DPM

  • Podiatrist
  • Spokane Valley, WA
National Provider Identifier
1093818890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
10410 E 9TH Ave
Spokane Valley, WA 99206-3510
Phone
(509) 928-3338
Fax
(509) 232-0112
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X WA Primary

Addresses

Primary practice location

10410 E 9TH Ave
Spokane Valley, WA 99206-3510

Mailing address

PO Box 141689
Spokane Valley, WA 99214-1689
Phone (509) 928-3338

Other identifiers 1

IdentifierTypeStateIssuer
1094051MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P000000525WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan C Dikes DPM PC Podiatrist PastSince Oct 9, 1995 Accepting new patients

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093818890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141689",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992141689",
            "telephone_number": "509-928-3338",
            "fax_number": "509-232-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 E 9TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063510",
            "telephone_number": "509-928-3338",
            "fax_number": "509-232-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKES",
        "first_name": "NATHAN",
        "middle_name": "CRAIG",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094051",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.