Individual provider Active NPI

David Scott Huntsman, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Fairbanks, AK
National Provider Identifier
1992091953
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MEDP8164 Issued in AK
Practice address
1919 Lathrop St
Fairbanks, AK 99701-5937
Phone
(907) 459-3545
Fax
(907) 328-0474
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5315051547 MI
Foot & Ankle Surgery Podiatrist 213ES0103X MEDP8164 AK Primary

Addresses

Primary practice location

1919 Lathrop St
Fairbanks, AK 99701-5937

Mailing address

1650 Cowles St
Fairbanks, AK 99701-5998
Phone (907) 459-3545

Other practice location 1

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Other identifiers 1

IdentifierTypeStateIssuer
1615171MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20141106002128 AK Practitioner - Podiatry 9032331061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairbanks Memorial Cardiology Center LLCGroup PAC ID 0244511269, 25 clinicians
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians
Orthopedic and Sportsmedicine Clinic of Fairbanks LLCGroup PAC ID 8820470636, 4 clinicians

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-6450

2310 Peger Rd
Suite 105
Fairbanks, AK 99709-5305
Phone (907) 479-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of nail tissue153
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MEDP8164AKMDFoot & Ankle Surgery Podiatrist
5315051547MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Valley Clinic LLC CurrentSince Nov 13, 2025 Accepting new patients
Fairbanks Memorial Cardiology Center, LLC CurrentSince Nov 13, 2025 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Nov 13, 2025 Accepting new patients
Interior Alaska Orthopedic & Sports Medicine Inc CurrentSince Sep 1, 2023 Accepting new patients
Orthopedic & Sportsmedicine Clinic of Fairbanks LLC CurrentSince Sep 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

1919 Lathrop St
Ste 105
Fairbanks, AK 99701
Phone (907) 374-1089

2310 Peger Rd
Ste 105
Fairbanks, AK 99709
Phone (907) 479-2663

1919 Lathrop St
Fairbanks, AK 99701
Phone (907) 459-3570

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

Interoperability endpoints

  • Direct secure messaging: david.huntsman.p1@direct.360care.nextgenshare.com
  • Direct secure messaging: david.huntsman.p1@direct.porterheart.nextgenshare.com
  • Direct secure messaging: david.huntsman.p1@direct.tananavalley.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1992091953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015998",
            "telephone_number": "907-459-3545",
            "fax_number": "907-328-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-459-3545",
            "fax_number": "907-328-0474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5315051547",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AK",
            "license": "MEDP8164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1615171",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.