Organization Active NPI

Dewain Nicholas Springer

  • Podiatrist
  • Oceanside, CA
National Provider Identifier
1154518140
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3097 Issued in CA
Legal business name
DEWAIN NICHOLAS SPRINGER
Practice address
2191 S El Camino Real
Suite 101
Oceanside, CA 92054-6224
Phone
(760) 757-7171
Fax
(760) 757-7172
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Dewain Nicholas Springer, DPMNPI 1881709459
Title
Podiatrist
Phone
(760) 757-7171

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 E3097 CA Primary

Addresses

Primary practice location

2191 S El Camino Real
Suite 101
Oceanside, CA 92054-6224

Mailing address

2191 S El Camino Real
Suite 101
Oceanside, CA 92054-6224
Phone (760) 757-7171

Other names 1

  • NORTH COUNTY PODIATRY CLINICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101020000015 CA Part B Supplier - Clinic/Group Practice 8527251875 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

2191 S El Camino Real
#101S
Oceanside, CA 92054

2191 S El Camino Real
Ste 101
Oceanside, CA 92054
Phone (619) 757-7171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1154518140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 S EL CAMINO REAL",
            "address_2": "SUITE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546224",
            "telephone_number": "760-757-7171",
            "fax_number": "760-757-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 S EL CAMINO REAL",
            "address_2": "SUITE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546224",
            "telephone_number": "760-757-7171",
            "fax_number": "760-757-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWAIN NICHOLAS SPRINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "DEWAIN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "760-757-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH COUNTY PODIATRY CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.