Individual provider Active NPI

Mark Dunnihoo

  • Podiatrist
  • Tacoma, WA
National Provider Identifier
1205119351
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PL60236832 Issued in WA
Practice address
9600 Veterans Dr SW
Tacoma, WA 98493-0001
Phone
(253) 582-8440
NPI assigned
Sep 26, 2011
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PL60236832 WA Primary

Addresses

Primary practice location

9600 Veterans Dr SW
Tacoma, WA 98493-0001

Mailing address

7324 178TH Street CT E
Puyallup, WA 98375-2361

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
I20230706004059 CA Practitioner - Podiatry 6800255944 Reassigns benefits to 1 organization
Practice locations: Eureka, CA; Fortuna, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2240 Fern St
Eureka, CA 95503-6200
Phone (707) 442-2712

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue580
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PL60236832WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Foot Clinic, Inc. Podiatrist CurrentSince May 27, 2023 Accepting new patients
Shawn S Rabbani DPM Inc Podiatrist PastSince May 27, 2023 Accepting new patients

Locations

18022 Pioneer Blvd
Artesia, CA 90701
Phone (562) 402-3668

18909 Sherman Way
Ste B
Reseda, CA 91335
Phone (818) 344-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1205119351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 178TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DR SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930001",
            "telephone_number": "253-582-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNIHOO",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PL60236832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.