Active NPI
Dennis John Chubinski, D.P.M.
- Podiatrist
- Fort Wayne, IN
National Provider Identifier
1871605147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000406A
- Practice address
- 8028 Carnegie Blvd.,
400
Fort Wayne, IN 46804-5788 - Phone
- (260) 747-5572
- Fax
- (260) 747-8329
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 07000406A | IN | Primary |
| Sports Medicine Podiatrist | 213ES0000X | 07000406A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000406A | IN |
Addresses
Primary practice location
8028 Carnegie Blvd.,
400
Fort Wayne, IN 46804-5788
Mailing address
1234 E. Dupont Rd.
3
Fort Wayne, IN 46825-1545
Phone (260) 373-9700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100359070A | Medicaid | IN | |
| 100359070B | Medicaid | IN | |
| 000000665116 | Other | IN | ANTHEM |
| 0430199 | Medicaid | OH | |
| P00895096 | Other | IN | R.R. MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000406A | IN | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toes R US, Inc. | Podiatrist | Past | Accepting new patients |
| Toes R US | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1871605147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E. DUPONT RD.",
"address_2": "3",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251545",
"telephone_number": "260-373-9700",
"fax_number": "260-373-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8028 CARNEGIE BLVD.,",
"address_2": "400",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468045788",
"telephone_number": "260-747-5572",
"fax_number": "260-747-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUBINSKI",
"first_name": "DENNIS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000406A",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "IN",
"license": "07000406A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000406A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100359070A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100359070B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000665116",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0430199",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "P00895096",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.