Tajyant Nat Chotechuang, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00339 Issued in OR

Practice address

1510 SW Nancy Way Ste 2
Bend, OR 97702-3256

Phone

(541) 385-7129

Fax

(541) 385-7138

NPI assigned

Aug 13, 2006

Last updated

Jul 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Footcare LLCGroup PAC ID 7113968256, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwest Footcare, LLC

  • Podiatrist
  • Bend, OR
  • NPI 1275545311
  Medicare reassignment Care Compare group NPD
• Cascade Foot Clinic

  • Primary Podiatric Medicine Podiatrist
  • Bend, OR
  • NPI 1790987428
  NPD (past)
• Cascade Medical Care,LLC

  • Licensed Practical Nurse
  • Bend, OR
  • NPI 1700318755
  NPD (past)
• Academy Foot and Ankle Clinics LTD

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1477730315
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1396757431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SW NANCY WAY STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023256",
            "telephone_number": "541-385-7129",
            "fax_number": "541-385-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SW NANCY WAY STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023256",
            "telephone_number": "541-385-7129",
            "fax_number": "541-385-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOTECHUANG",
        "first_name": "TAJYANT",
        "middle_name": "NAT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00339",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  ID",
            "identifier": "20-2456582",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "865318005",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181419",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Chisti, M.D., M.P.H.
• Audrey Jane Chitwood
• Eric Choffel, BS, RPA/RA
• Gurpreet Chopra, M.D.
• Jordan Chopra, DMD
• Keegan Wo on Choy, RPH
• Chrissi Marken LPC Inc
• Jeness Marie Christensen, MD
• Kathleen Elizabeth Christensen
• Kelsey D Christensen

• Podiatrist in Bend, OR
• Providers in Bend, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.