Individual provider Active NPI

Mindi Jo Dayton, DPM

  • Podiatrist
  • Ankeny, IA
National Provider Identifier
1386846988
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00784 Issued in IA
Practice address
3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4619
Phone
(515) 639-3775
Fax
(515) 964-3012
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00784 IA Primary

Addresses

Primary practice location

3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4619

Mailing address

3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4619
Phone (515) 639-3775

Other identifiers 1

IdentifierTypeStateIssuer
1386846988MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070702000283 IA Practitioner - Podiatry 2961501051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bunion Surgery Specialists LLCGroup PAC ID 5496149247, 3 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

700 E University Ave
Unitypoint Health Iowa
Des Moines, IA 50316-2302
Phone (515) 263-5612

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00784IAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Bunion Surgery Specialists LLC CurrentSince Sep 17, 2021 Accepting new patients
Bunion Surgery Specialists LLC Podiatrist CurrentSince Apr 1, 2022 Accepting new patients

Locations

1200 NW 36th St
Ste 100
Ankeny, IA 50023
Phone (515) 639-3775

3720 N Ankeny Blvd
Ste 103
Ankeny, IA 50023
Phone (515) 639-3775

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

Interoperability endpoints

  • Direct secure messaging: mindi.dayton.1@25083.direct.athenahealth.com
  • Direct secure messaging: mindi.dayton@1510.chartlogic.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/25083/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mfeilmeier1855@direct.unitypoint.org

Organizations & group practices 6

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1386846988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 N ANKENY BLVD STE 103",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234619",
            "telephone_number": "515-639-3775",
            "fax_number": "515-964-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N ANKENY BLVD STE 103",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234619",
            "telephone_number": "515-639-3775",
            "fax_number": "515-964-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "MINDI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386846988",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.