David L Deetz, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NM142 Issued in NM

Practice address

710 S Alameda Blvd
Las Cruces, NM 88005-2928

Phone

(575) 523-8566

Fax

(575) 525-2065

NPI assigned

May 31, 2005

Reactivated

Apr 4, 2006

Last updated

May 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rio Grande Foot Clinic Inc

  • Foot & Ankle Surgery Podiatrist
  • Las Cruces, NM
  • NPI 1225194608
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1568465862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052928",
            "telephone_number": "575-523-8566",
            "fax_number": "575-525-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052928",
            "telephone_number": "575-523-8566",
            "fax_number": "575-525-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETZ",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-05-14",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "NM142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54072",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM035303",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Debus, LCSW
• Anthony G Decorte, LCSW
• Garrett Dee, DO
• Deer Oaks Behavioral Health PA
• Deer Oaks Mental Health Associates PC
• Baylee Marcee' Dehart
• Zachary Dehler-Egan
• Ann-Marie Del Campo
• Robert Louis Del Campo, PH.D.
• Del Mercer Internal Medicine Ag-Acnp LLC

• Podiatrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.

Verify at the official NPI Registry.