Individual provider Active NPI

Marc R House, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
National Provider Identifier
1629038849
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000737 Issued in CO
Practice address
5420 S Quebec St Ste 106
Greenwood Village, CO 80111-1902
Phone
(720) 295-4864
Fax
(855) 805-9391
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 07000972A IN
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000737 CO Primary

Addresses

Primary practice location

5420 S Quebec St Ste 106
Greenwood Village, CO 80111-1902

Mailing address

5420 S Quebec St Ste 106
Greenwood Village, CO 80111-1902
Phone (720) 295-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20141120000830 CO Practitioner - Podiatry 9436124534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Foot and Ankle Clinic, LLCGroup PAC ID 4183970486, 3 clinicians

Practice addresses (Care Compare)

5420 S Quebec St
Suite 106
Greenwood Village, CO 80111-1902
Phone (720) 295-4864

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Foot and Ankle Clinic LLC Foot & Ankle Surgery CurrentSince Mar 9, 2018 Accepting new patients
Kinetic Foot and Ankle Clinic, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

12510 E Iliff Ave
Ste 120
Aurora, CO 80014
Phone (303) 591-0001

3464 S Willow St
Ste 521
Denver, CO 80231

2373 Central Park Blvd
Unit 202
Denver, CO 80238
Phone (303) 699-6200

5420 S Quebec St
Ste 106
Greenwood Village, CO 80111
Phone (720) 295-4864

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1629038849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 106",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902",
            "telephone_number": "720-295-4864",
            "fax_number": "855-805-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 106",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902",
            "telephone_number": "720-295-4864",
            "fax_number": "855-805-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "MARC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000972A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.