Active NPI
Mark Timothy Senft, D.P.M.
- Foot Surgery Podiatrist
- Kailua Kona, HI
National Provider Identifier
1447350087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO-140
- Practice address
- 75-5591 Palani Rd
Suite #3006
Kailua Kona, HI 96740-3631 - Phone
- (808) 331-8485
- Fax
- (808) 331-1333
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PO-140 | HI | Primary |
Addresses
Primary practice location
75-5591 Palani Rd
Suite #3006
Kailua Kona, HI 96740-3631
Mailing address
75-5591 Palani Rd
Suite #3006
Kailua Kona, HI 96740-3631
Phone (808) 331-8485
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAID | Other | HI | 49356001 |
| HMSA | Other | HI | 22042-6 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051107001205 | HI | Practitioner - Podiatry | 9335167428 | Practice locations: Kailua Kona, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO-140 | HI | MD | Foot Surgery Podiatrist |
| 955 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kona Foot Care, LLC | Foot Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Podiatric Medicine Podiatrist
- Kailua Kona, HI
- NPI 1285353508
Foot Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447350087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5591 PALANI RD",
"address_2": "SUITE #3006",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403631",
"telephone_number": "808-331-8485",
"fax_number": "808-331-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5591 PALANI RD",
"address_2": "SUITE #3006",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403631",
"telephone_number": "808-331-8485",
"fax_number": "808-331-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENFT",
"first_name": "MARK",
"middle_name": "TIMOTHY",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "HI",
"license": "PO-140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "49356001",
"identifier": "MEDICAID",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "22042-6",
"identifier": "HMSA",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.