Active NPI
Dean T Nakadate DPM PC
- Podiatrist
- Bend, OR
National Provider Identifier
1972740108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP00442
- Legal business name
- DEAN T NAKADATE DPM PC
- Practice address
- 1506 NE Williamson Blvd
Bend, OR 97701-6071 - Phone
- (541) 383-3668
- Fax
- (541) 383-4546
- NPI assigned
- Jan 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean T Nakadate, DPM
- Title
- Owner/Physician
- Phone
- (541) 383-3668
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP00442 | OR | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP00442 | OR |
Addresses
Primary practice location
1506 NE Williamson Blvd
Bend, OR 97701-6071
Mailing address
1506 NE Williamson Blvd
Bend, OR 97701-6071
Phone (541) 383-3668
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231459200000",
"number": "1972740108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 NE WILLIAMSON BLVD",
"city": "BEND",
"state": "OR",
"postal_code": "977016071",
"telephone_number": "541-383-3668",
"fax_number": "541-383-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 NE WILLIAMSON BLVD",
"city": "BEND",
"state": "OR",
"postal_code": "977016071",
"telephone_number": "541-383-3668",
"fax_number": "541-383-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN T NAKADATE DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A",
"authorized_official_last_name": "NAKADATE",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "541-383-3668",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OR",
"license": "DP00442",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "DP00442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.