Individual provider Active NPI

Chad R. Dickemore, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, MT
National Provider Identifier
1407867385
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
169 Issued in MT
Practice address
330 N 10TH St Ste B
Hamilton, MT 59840-2318
Phone
(406) 363-4214
Fax
(406) 363-4354
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 Podiatrist 213ES0103X 169 MT Primary

Addresses

Primary practice location

330 N 10TH St Ste B
Hamilton, MT 59840-2318

Mailing address

330 N 10TH St Ste B
Hamilton, MT 59840-2318
Phone (406) 363-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20060925000318 MT Practitioner - Podiatry 7911902044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 N 10TH St
Suite B
Hamilton, MT 59840-2318
Phone (406) 363-4214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue97
Removal of skin lesions1-10
Removal of nail tissue905
Removal or shaving of skin growth539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bitterroot Foot & Ankle Clinic PC Foot & Ankle Surgery CurrentSince Aug 25, 2006 Accepting new patients

Locations

1201 Westwood Dr
Ste B
Hamilton, MT 59840
Phone (406) 363-4214

330 N 10th St
Ste B
Hamilton, MT 59840
Phone (406) 363-4214

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.

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1407867385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N 10TH ST STE B",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402318",
            "telephone_number": "406-363-4214",
            "fax_number": "406-363-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N 10TH ST STE B",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402318",
            "telephone_number": "406-363-4214",
            "fax_number": "406-363-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEMORE",
        "first_name": "CHAD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.