Active NPI
Hettinger Podiatry Center, PC
- Podiatrist
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016003842
- Legal business name
- HETTINGER PODIATRY CENTER, PC
- Practice address
- 2030 Appaloosa CT W
Wheaton, IL 60189-8922 - Phone
- (630) 682-3338
- Fax
- (630) 682-5836
- NPI assigned
- May 1, 2006
- Last updated
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David F Hettinger, DPM
- Title
- President
- Phone
- (630) 682-3338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003842 | IL | Primary |
Addresses
Primary practice location
2030 Appaloosa CT W
Wheaton, IL 60189-8922
Mailing address
59 Danada SQ E
Wheaton, IL 60189-8484
Phone (630) 682-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Hettinger Podiatry Center PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Wheaton, IL
- NPI 1477961548
Locations
59 Danada Sq E
Wheaton, IL 60189
Phone (630) 682-3338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Wheaton, IL
- NPI 1821099276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1508823691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 DANADA SQ E",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898484",
"telephone_number": "630-682-3338",
"fax_number": "630-682-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 APPALOOSA CT W",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898922",
"telephone_number": "630-682-3338",
"fax_number": "630-682-5836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HETTINGER PODIATRY CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "HETTINGER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-682-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016003842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.