Individual provider Active NPI

Dean T Nakadate, D.P.M.

  • Podiatrist
  • Bend, OR
National Provider Identifier
1609972439
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP00442 Issued in OR
Practice address
2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone
(541) 382-3344
Fax
(541) 382-1681
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP00442 OR
Podiatrist 213E00000X DP00442 OR Primary

Addresses

Primary practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Mailing address

PO Box 670
Bend, OR 97709-0670
Phone (541) 317-5600

Other practice location 1

929 SW Simpson Ave
Suite 220
Bend, OR 97702-3599
Phone (541) 317-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnakadate27296@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20090120000268 OR Practitioner - Podiatry 1850454778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00442ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Scripps Clinic Medical Group, Inc Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645

29358 Network Pl
Chicago, IL 60673

800 W Baltimore St
Ste 409
Baltimore, MD 21201

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

1342 NE Medical Center Dr
Bend, OR 97701
Phone (541) 318-0858

929 SW Simpson Ave
Ste 220
Bend, OR 97702
Phone (541) 317-5600

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753

2245 NW Shevlin Park Rd
Bend, OR 97703

929 SW Simpson Ave
Bend, OR 97702
Phone (541) 848-6642

271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

333 NW Larch Ave
Ste 110
Redmond, OR 97756

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1609972439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090670",
            "telephone_number": "541-317-5600",
            "fax_number": "541-317-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-3344",
            "fax_number": "541-382-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 SW Simpson Ave",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023599",
            "country_code": "US",
            "telephone_number": "541-317-5600",
            "fax_number": "541-317-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKADATE",
        "first_name": "DEAN",
        "middle_name": "T",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00442",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnakadate27296@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 200",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.