Active NPI
David B Huebner, DPM
- Foot & Ankle Surgery Podiatrist
- Lacey, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60211761
- Practice address
- 5210 Corporate Center CT SE Ste a
Lacey, WA 98503-5952 - Phone
- (360) 764-8293
- Fax
- (360) 706-2560
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO60211761 | WA | Primary |
| Podiatrist | 213E00000X | 87 | MT |
Addresses
Primary practice location
5210 Corporate Center CT SE Ste a
Lacey, WA 98503-5952
Mailing address
1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303
Phone (360) 338-0004
Other practice location 1
3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
Phone (253) 272-2999
Other practice location 2
1610 Bishop Rd SW
Suite 101
Tumwater, WA 98512-7303
Phone (360) 745-3338
Other practice location 3
1220 W 1st St Ste B
Centralia, WA 98531-3018
Phone (360) 736-4151
Other practice location 4
404 Black Hills Ln SW Ste B
Olympia, WA 98502-8148
Phone (360) 943-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0390780 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87 | MT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Interoperability endpoints
- drhuebner@faasa-wa.direct.office.nextgen.com
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1376544254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 BISHOP RD SW STE 101",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985127303",
"telephone_number": "360-338-0004",
"fax_number": "360-515-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 CORPORATE CENTER CT SE STE A",
"city": "LACEY",
"state": "WA",
"postal_code": "985035952",
"telephone_number": "360-764-8293",
"fax_number": "360-706-2560"
}
],
"practiceLocations": [
{
"address_1": "3929 Bridgeport Way W Ste 308",
"address_purpose": "LOCATION",
"city": "University Place",
"state": "WA",
"postal_code": "984664455",
"country_code": "US",
"telephone_number": "253-272-2999",
"fax_number": "253-272-4699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1610 Bishop Rd SW",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "985127303",
"country_code": "US",
"telephone_number": "360-745-3338",
"fax_number": "360-753-4861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1220 W 1st St Ste B",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "WA",
"postal_code": "985313018",
"country_code": "US",
"telephone_number": "360-736-4151",
"fax_number": "360-736-4154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 Black Hills Ln SW Ste B",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985028148",
"country_code": "US",
"telephone_number": "360-943-1400",
"fax_number": "360-943-0660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUEBNER",
"first_name": "DAVID",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60211761",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MT",
"license": "87",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0390780",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.