Individual provider Active NPI

E Charisse Dunn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm Beach Gardens, FL
National Provider Identifier
1245347582
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POOOO2182 Issued in FL
Practice address
5610 Pga Blvd
Ste 212
Palm Beach Gardens, FL 33418-3838
Phone
(561) 776-7047
Fax
(561) 776-7049
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POOOO2182 FL Primary

Addresses

Primary practice location

5610 Pga Blvd
Ste 212
Palm Beach Gardens, FL 33418-3838

Mailing address

5610 Pga Blvd
Ste 212
Palm Beach Gardens, FL 33418-3838
Phone (561) 776-7047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040112000050 FL Practitioner - Podiatry 7517867393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5610 Pga Blvd
Suite 212
Palm BCH Gardens, FL 33418-3838

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue31
Removal of nail tissue433
Removal or shaving of skin growth151
Skin biopsy21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POOOO2182FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pga Foot and Ankle PA CurrentSince Jun 30, 1997 Accepting new patients

Locations

5610 Pga Blvd
Ste 212
Palm Beach Gardens, FL 33418
Phone (560) 776-7047

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245347582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 PGA BLVD",
            "address_2": "STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183838",
            "telephone_number": "561-776-7047",
            "fax_number": "561-776-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 PGA BLVD",
            "address_2": "STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183838",
            "telephone_number": "561-776-7047",
            "fax_number": "561-776-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "E",
        "middle_name": "CHARISSE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "POOOO2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.