Individual provider Active NPI

Gregory Hanks, DPM

  • Foot & Ankle Surgery Podiatrist
  • Silverdale, WA
National Provider Identifier
1346890944
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO61440975 Issued in WA
Practice address
10049 Kitsap Mall Blvd NW Ste 109
Silverdale, WA 98383-8901
Phone
(360) 698-2505
Fax
(360) 698-2514
NPI assigned
Sep 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO61440975 WA Primary

Addresses

Primary practice location

10049 Kitsap Mall Blvd NW Ste 109
Silverdale, WA 98383-8901

Mailing address

10049 Kitsap Mall Blvd NW Ste 109
Silverdale, WA 98383-8901
Phone (360) 698-2505

Other practice location 1

543 Eureka Way
Sequim, WA 98382-5074
Phone (360) 683-0164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230815001994 WA Practitioner - Podiatry 0749642288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kitsap Podiatry PLLCGroup PAC ID 5294817565, 4 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

10049 Kitsap Mall Blvd NW
Suite 109
Silverdale, WA 98383-8901
Phone (360) 698-2505

742 Lebo Blvd
Suite a
Bremerton, WA 98310-3325
Phone (360) 744-4950

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue453
Removal of nail tissue789
Removal or shaving of skin growth206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO61440975WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Single Specialty Current Accepting new patients
Kitsap Podiatry PLLC Single Specialty CurrentSince Jul 31, 2023 Accepting new patients
Franciscan Medical Group Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

742 Lebo Blvd
Ste A
Bremerton, WA 98310
Phone (360) 744-4950

543 Eureka Way
Sequim, WA 98382
Phone (360) 683-0164

10049 Kitsap Mall Blvd NW
Ste 109
Silverdale, WA 98383
Phone (360) 698-2224

10049 Kitsap Mall Blvd NW
Silverdale, WA 98383
Phone (360) 373-6966

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1346890944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10049 KITSAP MALL BLVD NW STE 109",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838901",
            "telephone_number": "360-698-2505",
            "fax_number": "360-698-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 KITSAP MALL BLVD NW STE 109",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838901",
            "telephone_number": "360-698-2505",
            "fax_number": "360-698-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Eureka Way",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983825074",
            "country_code": "US",
            "telephone_number": "360-683-0164",
            "fax_number": "360-683-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKS",
        "first_name": "GREGORY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61440975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.