Dean McNabb DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DEAN MCNABB DPM LLC

Doing business as

Pacific NW Foot and Ankle

Practice address

3625 River Rd N Ste 275
Keizer, OR 97303-5985

Phone

(503) 390-0959

Fax

(877) 878-1984

NPI assigned

Oct 10, 2007

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Earl Dean McNabb, DPMNPI 1487614509

Title

Owner

Phone

(503) 390-0959

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PACIFIC NW FOOT AND ANKLE Doing business as

Locations

Practitioners 2

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.

• Earl Dean McNabb, DPM

  • Foot & Ankle Surgery Podiatrist
  • Keizer, OR
  • NPI 1487614509
  Authorized official Same address or phone
• Sunny Sajjad, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Corpus Christi, TX
  • NPI 1255784492
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1568650026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20367",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973070367",
            "telephone_number": "503-390-0959",
            "fax_number": "877-878-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 RIVER RD N STE 275",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035985",
            "telephone_number": "503-390-0959",
            "fax_number": "877-878-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN MCNABB DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "MCNABB",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-390-0959",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE KEIZER",
            "identifier": "R133627",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182958",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC NW FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David P Laufer LLC
• Neal Whitman Davis, O.D.
• Courtney N Dawes Hennings, DPT
• Erin Michele Day, SKILLS TRAINER
• Kimberly Dawn Dayton, R.D.H.
• Dental Professionals of Oregon, P.C. (V2 Dentistry)
• Jessica Depriest
• Dermatology Northwest LLC
• Leah Helen Derring, LMT
• Jaspreet Dhingsa

• Foot & Ankle Surgery Podiatrist in Keizer, OR
• Providers in Keizer, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.