Active NPI
Dale Meier Fountain, DPM
- Podiatrist
- Lincoln, NE
National Provider Identifier
1427069442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 218
- Practice address
- 5835 Vine St
Lincoln, NE 68505-2847 - Phone
- (402) 466-5677
- Fax
- (402) 466-5677
- NPI assigned
- Aug 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 218 | NE | Primary |
Addresses
Primary practice location
5835 Vine St
Lincoln, NE 68505-2847
Mailing address
5835 Vine St
PO Box 5505
Lincoln, NE 68505-2847
Phone (402) 466-5677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480013496 | Other | RRMC | |
| 470762478 | Medicaid | NE |
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 |
|---|---|---|---|
| 218 | NE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427069442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 VINE ST",
"address_2": "PO BOX 5505",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052847",
"telephone_number": "402-466-5677",
"fax_number": "402-466-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 VINE ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052847",
"telephone_number": "402-466-5677",
"fax_number": "402-466-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUNTAIN",
"first_name": "DALE",
"middle_name": "MEIER",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NE",
"license": "218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "480013496",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470762478",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.