Organization Active NPI

Dean T Nakadate DPM PC

  • Podiatrist
  • Bend, OR
National Provider Identifier
1972740108
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP00442 Issued in OR
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

Updated by the provider on Jan 9, 2009

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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X DP00442 OR Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.