Active NPI
Danforth S Desena, D.P.M.
- Foot Surgery Podiatrist
- Portland, ME
National Provider Identifier
1881669836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- POD170
- Practice address
- 68 Marginal Way
4TH Floor
Portland, ME 04101-2444 - Phone
- (207) 879-1339
- Fax
- (207) 879-1092
- NPI assigned
- Feb 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | POD170 | ME | Primary |
Addresses
Primary practice location
68 Marginal Way
4TH Floor
Portland, ME 04101-2444
Mailing address
68 Marginal Way
4TH Floor
Portland, ME 04101-2444
Phone (207) 879-1339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114830099 | Medicaid | ME |
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 |
|---|---|---|---|
| POD170 | ME | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Foot & Ankle, PA | Foot Surgery | Past | Accepting new patients |
Organizations & group practices 1
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": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1881669836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 MARGINAL WAY",
"address_2": "4TH FLOOR",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012444",
"telephone_number": "207-879-1339",
"fax_number": "207-879-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 MARGINAL WAY",
"address_2": "4TH FLOOR",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012444",
"telephone_number": "207-879-1339",
"fax_number": "207-879-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESENA",
"first_name": "DANFORTH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "ME",
"license": "POD170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114830099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.