Individual provider Active NPI

Dennis Lee Marta, DPM

  • Podiatrist
  • Palm Springs, CA
National Provider Identifier
1124167481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1722 Issued in CA
Practice address
2145 E Tahquitz Canyon Way
Suite #1
Palm Springs, CA 92262-7020
Phone
(760) 325-1321
Fax
(760) 320-0611
NPI assigned
Feb 5, 2007
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 E1722 CA Primary

Addresses

Primary practice location

2145 E Tahquitz Canyon Way
Suite #1
Palm Springs, CA 92262-7020

Mailing address

2145 E Tahquitz Canyon Way
Suite #1
Palm Springs, CA 92262-7020
Phone (760) 325-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120410000104 CA Practitioner - Podiatry 6103087671 Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2145 E Tahquitz Canyon
Suite 1
Palm Springs, CA 92262-7020

2145 E Tahquitz Canyon Way
Suite 1
Palm Springs, CA 92262-7020
Phone (760) 325-1321

2145 E Tahquitz Way
Suite 1
Palm Springs, CA 92262-7020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue547
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124167481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE #1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627020",
            "telephone_number": "760-325-1321",
            "fax_number": "760-320-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE #1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627020",
            "telephone_number": "760-325-1321",
            "fax_number": "760-320-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTA",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.