Individual provider Active NPI

David Deeney, DPM

  • Podiatrist
  • Marion, IA
National Provider Identifier
1942269691
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00498 Issued in IA
Practice address
1195 E Post Rd Unit 4
Marion, IA 52302-7235
Phone
(319) 373-4400
Fax
(319) 373-4404
NPI assigned
Mar 21, 2006
Last updated
Feb 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00498 IA
Podiatrist 213E00000X 00498 IA Primary

Addresses

Primary practice location

1195 E Post Rd Unit 4
Marion, IA 52302-7235

Mailing address

1195 E Post Rd Unit 4
Marion, IA 52302-7235
Phone (319) 373-4400

Other identifiers 1

IdentifierTypeStateIssuer
1065789MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080118000061 IA Practitioner - Podiatry 4082795885 Reassigns benefits to 1 organization
Practice locations: Marion, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
498IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Iowa Foot Specialists P.C. Podiatrist CurrentSince Sep 26, 2017 Accepting new patients

Locations

1350 Boyson Rd
Ste D3
Hiawatha, IA 52233
Phone (319) 378-8280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1942269691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 E POST RD UNIT 4",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523027235",
            "telephone_number": "319-373-4400",
            "fax_number": "319-373-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 E POST RD UNIT 4",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523027235",
            "telephone_number": "319-373-4400",
            "fax_number": "319-373-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEENEY",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "00498",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1065789",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

Verify at the official NPI Registry.