Dupontdpm Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DUPONTDPM INC.

Practice address

651 1St St W Ste C
Sonoma, CA 95476-7046

Phone

(707) 938-1977

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Brett Dupont, DPMNPI 1215377635

Title

Owner

Phone

(845) 987-9002

Specialties & licenses 1

Addresses

Other names 1

• Golden Gate Foot and Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett James Dupont, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sonoma, CA
  • NPI 1215377635
  Medicare reassignment NPD Authorized official
• Pieter Michiel Lagaay, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sonoma, CA
  • NPI 1366544959
  NPD (past)
• Alvin Prince Bannerjee, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Washington, DC
  • NPI 1225329873
  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1780211458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE C",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "707-938-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE C",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "707-938-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPONTDPM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-987-9002",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Gate Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Michael Dobson, DC
• Stephen William Douthit, MS, AMFT
• Clayton Franklyn Drake Jr., MD
• Susan Dunlop, RN
• Brett James Dupont, DPM
• Mari-Lynne Earls, LMFT
• Jad S Elkhoury, DDS, MS
• Russell Marc Elmer, MD
• Ensign Sonoma LLC
• Joseph Ercolini, DC

• Foot & Ankle Surgery Podiatrist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.