DAVID L DEETZ (NPI# 1568465862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568465862 |
| Entity Type | Individual |
| Full Name | DAVID L DEETZ |
| Credential | D.P.M. |
| Practice Address |
710 S Alameda Blvd Las Cruces NM 88005-2928 |
| Practice Telephone | 5755238566 |
| Practice Fax Number | 5755252065 |
| Mailing Telephone | 5755238566 |
| Mailing Fax Number | 5755252065 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2008-05-14 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | NM142 | NM | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 54072 | 05 | |
| NM | BLUE CROSS BLUE SHIELD | NM035303 | 01 |
| Street Address |
710 S ALAMEDA BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787452 | Heirloom LLC | Marriage & Family Therapist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2020-07-07 |
| 1285126136 | Wholehearted Wholistic Therapy LLC | Marriage & Family Therapist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2018-06-05 |
| 1225194608 | Rio Grande Foot Clinic Inc | Podiatrist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| 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 |
|---|---|---|---|---|
| 1710360037 | Yvonne Miriaku Muojieje | Podiatrist | 4500 N Sonoma Ranch Blvd, Las Cruces, NM 88011-7334 | 2015-07-06 |
| 1396146957 | Stephanie Gonzalez | Podiatrist | 4151 Camino Coyote Ste B, Las Cruces, NM 88011-7096 | 2014-09-12 |
| 1033105812 | Robert B Mullan | Podiatrist | 2445 S Telshore Blvd, Las Cruces, NM 88011 | 2005-09-27 |
| 1164415782 | Robert Mullan Dpm Inc | Podiatrist | 1400 El Paseo Rd, Las Cruces, NM 88001-6018 | 2005-08-30 |
| 1205833886 | David H. Fisher | Podiatrist | 335 N Solano Dr, Las Cruces, NM 88001-2930 | 2005-06-28 |
| 1073743704 | Yolanda J Chacon | Podiatrist | 2800 Doral Ct Ste A, Las Cruces, NM 88011-8616 | 2009-07-15 |
| 1497744288 | Rolando C Cadena | Podiatrist | 2930 Hillrise Dr, Ste4, Las Cruces, NM 88011-4776 | 2005-10-14 |
| 1689667792 | Douglas Terry Gillis | Podiatrist | 780 S Walnut St, Suite 3, Las Cruces, NM 88001-1425 | 2005-08-24 |
| 1053304261 | Hsiao-chun Yu | Podiatrist | 780 S Walnut St, Suite 3, Las Cruces, NM 88001-1425 | 2005-08-24 |
| 1871586081 | Arroyo Foot & Ankle Clinic Inc | Podiatrist | 780 S Walnut St, Ste 3, Las Cruces, NM 88001-1425 | 2005-08-24 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on DAVID L DEETZ.
| 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.