Douglas Darren Presta, DPM

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

License

0196005 Issued in WA

Practice address

4361 Talbot Rd S
Suite 101
Renton, WA 98055-6226

Phone

(425) 336-4442

Fax

(425) 271-1368

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael a. Mishalanie, DPM PS

  • Sports Medicine Podiatrist
  • Renton, WA
  • NPI 1356555098
  NPD (past)
• Spokane Foot Clinic, P S

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1215012331

  Primary Podiatric Medicine

  NPD (past)
• Spokane Foot Clinic, P S

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1306921424
  NPD (past)
• Spokane Foot Clinic, P S

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1982789095
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669463519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 TALBOT RD S",
            "address_2": "SUITE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556226",
            "telephone_number": "425-336-4442",
            "fax_number": "425-271-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 TALBOT RD S",
            "address_2": "SUITE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556226",
            "telephone_number": "425-336-4442",
            "fax_number": "425-271-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTA",
        "first_name": "DOUGLAS",
        "middle_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "0196005",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "WA",
            "license": "0196005",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "0196005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "0293820001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1597PR",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP GRP #",
            "identifier": "0056910",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP #",
            "identifier": "VA5229",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8274391",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "0196005",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie L Poulsen, MA, LMHC
• McKinzee L Powell, LMP
• Fernanda Gabriela Prado Lopez Aristi, LMFTA
• Shonali Rayneeka Prasad
• Premier Chiropractic #7, PLLC
• Michael Charles Previti, MD
• Price Medical, Inc
• Chelsea Price, D.O.
• Mary C Price
• Nivea Prietol Mayfield

• Sports Medicine Podiatrist in Renton, WA
• Providers in Renton, WA by specialty
• Sports Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.