Individual provider Active NPI

Denardo Dolphin Dunham, D.P.M.

  • Foot Surgery Podiatrist
  • New Orleans, LA
National Provider Identifier
1609836055
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PD088R Issued in LA
Practice address
7311 Downman Rd
New Orleans, LA 70126-1213
Phone
(504) 241-5707
Fax
(504) 241-1945
NPI assigned
Mar 27, 2006
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PD088R LA Primary

Addresses

Primary practice location

7311 Downman Rd
New Orleans, LA 70126-1213

Mailing address

7311 Downman Rd
New Orleans, LA 70126-1213
Phone (504) 241-5707

Other identifiers 1

IdentifierTypeStateIssuer
1397245MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20110124000357 LA Practitioner - Podiatry 5395632509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Foot Specialists, LLCGroup PAC ID 6002028222, 2 clinicians

Practice addresses (Care Compare)

7311 Downman Rd
New Orleans, LA 70126-1213
Phone (504) 241-5707

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue53
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Foot Specialists, LLC Foot & Ankle Surgery CurrentSince Jul 1, 1996 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

7311 Downman Rd
New Orleans, LA 70126
Phone (504) 241-5707

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1609836055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 DOWNMAN RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261213",
            "telephone_number": "504-241-5707",
            "fax_number": "504-241-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 DOWNMAN RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261213",
            "telephone_number": "504-241-5707",
            "fax_number": "504-241-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "DENARDO",
        "middle_name": "DOLPHIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "PD088R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.