Denise M Dorner, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD213 Issued in NM

Practice address

4801 N Butler Ave
Ste 14102
Farmington, NM 87401-6002

Phone

(505) 327-3650

Fax

(505) 327-2350

NPI assigned

Jun 23, 2005

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Podiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Foot Health Specialists of Farmington, LLC

  • Primary Podiatric Medicine Podiatrist
  • Farmington, NM
  • NPI 1679211791
  Medicare reassignment NPD Authorized official
• Darlo G Vander Wilt DPM

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
  • NPI 1073752127
  NPD (past)
• Santa Fe Radiology PC

  • Diagnostic Radiology Physician
  • Santa Fe, NM
  • NPI 1760402127
  NPD (past)

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

• San Juan Regional Medical Center Inc

  dba SJRMC Inpatient Rehab Unit

  • Rehabilitation Hospital Unit
  • Farmington, NM
  • NPI 1326663592
  Care Compare affiliation
• San Juan Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Farmington, NM
  • NPI 1427058510
  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1740286780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE STE 14-102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874010815",
            "telephone_number": "505-327-3650",
            "fax_number": "505-327-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE",
            "address_2": "STE 14102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016002",
            "telephone_number": "505-327-3650",
            "fax_number": "505-327-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNER",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59931",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald K. Glover, D.O., P.C.
• Donald R. Froyd, Jr., PH.D.
• Kami Lea Donald
• Jason S Doolin, D.C.
• Tori Cherie Doolin, LMT
• Dr David Herman's Four Corners Dental, LLC
• Dr David J Herman's Four Corners Dental, LLC
• Dr. Jack O. Smalley DSS
• Dr. Jack Smalley D.D.S.
• Dr. Joseph a. Wilson DMD, MSD, LLC

• Foot & Ankle Surgery Podiatrist in Farmington, NM
• Providers in Farmington, NM by specialty
• Foot & Ankle Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.

Verify at the official NPI Registry.