DENISE DORNER (NPI# 1740286780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740286780 |
| Entity Type | Individual |
| Full Name | DENISE DORNER |
| Credential | DPM |
| Practice Address |
4801 N Butler Ave Ste 14102 Farmington NM 87401-6002 |
| Mailing Address |
718 Lomas Blvd Nw Albuquerque NM 87102-2073 |
| Practice Telephone | 5053273650 |
| Practice Fax Number | 5053272350 |
| Mailing Telephone | 5053273650 |
| Mailing Fax Number | 5053272350 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2014-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 213 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | F8031 | 05 |
| Street Address |
4801 N BUTLER AVE STE 14102 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536088 | Armando Lopez De Victoria | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2005-05-24 |
| 1184985475 | Advanced Gastroenterology Associates | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2012-06-03 |
| 1164700571 | Tres Rios Anesthesiology LLC | Anesthesiology | 4801 N Butler Ave, Suite 5000, Farmington, NM 87401-6002 | 2011-08-02 |
| 1184850372 | Edmund Mcnally | Physician Assistant | 4801 N Butler Ave, Ste 8102, Farmington, NM 87401-6002 | 2009-06-02 |
| 1093928673 | Samuel C. Carpenter, Dpmpc | Podiatrist | 4801 N Butler Ave, Suite 9102, Farmington, NM 87401-6002 | 2007-05-08 |
| 1942365416 | Neurodiagnostics Ltd. | Psychiatry & Neurology | 4801 N Butler Ave, Ste. 8102, Farmington, NM 87401-0818 | 2006-12-26 |
| 1508920661 | Jean Graham | Specialist | 4801 N Butler Ave, Farmington, NM 87401-6002 | 2006-12-21 |
| 1568575314 | Michael Joseph Rutledge | Family Medicine | 4801 N Butler Ave, Suite 13101, Farmington, NM 87401-6002 | 2006-08-16 |
| 1265465884 | Uche N Obisike | Internal Medicine | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 | 2006-07-08 |
| 1790720662 | Comprehensive Sleep Solutions, LLC | Clinic/Center | 4801 N Butler Ave, Ste 6102, Farmington, NM 87401-6002 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710175872 | J Garey Ritchie | Podiatrist | 904 E 20th St Ste C, Farmington, NM 87401-4281 | 2007-10-13 |
| 1336367416 | Sandy River Podiatry, Pa | Podiatrist | 114 Perham St, Farmington, ME 04938-1520 | 2007-04-23 |
| 1891836243 | David S Ungar Dpm PC | Podiatrist | 34435 Grand River, Farmington, MI 48335 | 2007-02-09 |
| 1528172871 | Samuel C Carpenter | Podiatrist | 304 S Lake St, Ste 104, Farmington, NM 87401-5659 | 2006-08-17 |
| 1093743502 | Brian Keith Wagner | Podiatrist | 11 South Rd Lowr Level20, Farmington, CT 06032-2483 | 2006-06-30 |
| 1467424168 | Jeffrey M. Tencer | Podiatrist | 1055 Farmington Ave, Farmington, CT 06032-1511 | 2006-02-06 |
| 1801896816 | Gary A Green | Podiatrist | 670 Shepard Ln, Suite 102, Farmington, UT 84025-3936 | 2005-08-01 |
| 1699775015 | David Sam Ungar | Podiatrist | 34435 Grand River Ave, Farmington, MI 48335-3309 | 2005-07-28 |
| 1295112464 | Nighat Hussain | Podiatrist | 263 Farmington Avenue, Farmington, CT 06030-4038 | 2015-04-27 |
| 1871812057 | Scott W. Lindsay, Dpm | Podiatrist | 1055 Farmington Ave, Farmington, CT 06032-1573 | 2010-05-27 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on DENISE DORNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.