Individual provider Active NPI

David B Huebner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lacey, WA
National Provider Identifier
1376544254
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60211761 Issued in WA
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

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0390780MedicaidMT

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

LicenseStateTypeSpecialty
87MTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.