Active NPI
Layne A Dameron, DPM
- Podiatrist
- Sparks, NV
National Provider Identifier
1639249782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2061
- Practice address
- 2321 Pyramid Way
Sparks, NV 89431 - Phone
- (775) 331-1919
- Fax
- (775) 331-2008
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 10197768-0501 | UT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD000886 | AZ | |
| Podiatrist | 213E00000X | 2061 | NV | Primary |
Addresses
Primary practice location
2321 Pyramid Way
Sparks, NV 89431
Mailing address
2321 Pyramid Way
Sparks, NV 89431
Phone (775) 331-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190753 | Other | UT | PEHP |
| 1639249782 | Other | UT | DMBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Rio Vista Dr
Fallon, NV 89406-5463
Phone (775) 423-3634
2321 Pyramid Way
Suite B
Sparks, NV 89431-8715
Phone (775) 331-1919
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 16 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 210 |
| Removal or shaving of skin growth | 52 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD000886 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallon Tribal Health Center | Current | Accepting new patients | |
| Grand Canyon Anesthesia LLC | Past | Accepting new patients |
Locations
1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634
Interoperability endpoints
- ldameron@fthc.directbygreenway.com
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.
-
- Foot & Ankle Surgery Podiatrist
- Sparks, NV
- NPI 1871027086
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1356822902
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1639249782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "89431",
"telephone_number": "775-331-1919",
"fax_number": "775-331-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "89431",
"telephone_number": "775-331-1919",
"fax_number": "775-331-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "LAYNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "10197768-0501",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD000886",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "2061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "190753",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "1639249782",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.