Organization Active NPI

Nathan C Dikes DPM PC

  • Podiatrist
  • Spokane Valley, WA
National Provider Identifier
1104943141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NATHAN C DIKES DPM PC
Practice address
10410 E 9TH Ave
Spokane Valley, WA 99206-3510
Phone
(509) 928-3338
Fax
(509) 232-0112
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nathan Craig Dikes, DPMNPI 1093818890
Title
Owner
Phone
(509) 928-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

2207 N Molter Rd
Ste LL3
Liberty Lake, WA 99019
Phone (509) 444-8708

1120 N Pines Rd
Spokane Valley, WA 99206
Phone (509) 924-3235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104943141",
    "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": {
        "organization_name": "NATHAN C DIKES DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIKES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-928-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Aug 22, 2020; 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.