Individual provider Active NPI

Dewain Nicholas Springer, DPM

  • Podiatrist
  • Oceanside, CA
National Provider Identifier
1881709459
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3097 Issued in CA
Practice address
2191 El Camino Real # 101
Oceanside, CA 92054-6225
Phone
(760) 757-7171
Fax
(760) 757-7172
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3097 CA Primary

Addresses

Primary practice location

2191 El Camino Real # 101
Oceanside, CA 92054-6225

Mailing address

2191 El Camino Real # 101
Oceanside, CA 92054-6225
Phone (760) 757-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20101019000553 CA Practitioner - Podiatry 8527251883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2191 S El Camino Real
Suite 101
Oceanside, CA 92054-6225
Phone (760) 757-7171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3097CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dewain Nicholas Springer Podiatrist CurrentSince Jan 1, 1973 Accepting new patients

Locations

2191 S El Camino Real
Ste 101
Oceanside, CA 92054
Phone (619) 757-7171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1881709459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 EL CAMINO REAL # 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546225",
            "telephone_number": "760-757-7171",
            "fax_number": "760-757-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 EL CAMINO REAL # 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546225",
            "telephone_number": "760-757-7171",
            "fax_number": "760-757-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "DEWAIN",
        "middle_name": "NICHOLAS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.