DR. DOUGLAS DARREN PRESTA DPM NPI 1669463519

NPI Information

NPI: 1669463519
Provider Name: DR. DOUGLAS DARREN PRESTA, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Address:
4361 TALBOT RD S
SUITE 101
RENTON, WA
ZIP 98055
Phone: (425) 336-4442
Get Directions

DR. Douglas Darren Presta, DPM is a primary podiatric medicine podiatrist in Renton, WA. DR. Douglas Darren Presta, DPM NPI is 1669463519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4361 TALBOT RD S
SUITE 101
RENTON, WA
ZIP 98055-226
Phone: (425) 336-4442
Fax: (425) 271-1368

The enumeration date for this NPI number is 10/31/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	0196005	WASHINGTON	Yes
2	213ES0000X	Podiatrist	Sports Medicine	0196005	WASHINGTON	X
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	0196005	WASHINGTON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0293820001	OTHER	WASHINGTON	CIGNA MEDICARE
2	VA5229	OTHER	WASHINGTON	REGENCE GROUP #
3	8274391	MEDICAID	WASHINGTON
4	U75051	MEDICARE UPIN
5	1597PR	OTHER	WASHINGTON	REGENCE
6	8852803	MEDICARE ID-TYPE UNSPECIFIED
7	0056910	OTHER	WASHINGTON	WORKERS COMP GRP #
8	0196005	OTHER	WASHINGTON	WORKERS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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