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DR. DANE KENT WUKICH M.D. NPI 1184690489


NPI Information

NPI: 1184690489
Provider Name: DR. DANE KENT WUKICH, M.D.
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

PECOS Registration: Yes

Address:
1801 INWOOD RD
DALLAS, TX
ZIP 75390
Phone: (214) 645-3300
Get Directions

DR. Dane Kent Wukich, M.D. is a foot and ankle surgery orthopaedic surgery in Dallas, TX with 42 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. DR. Dane Kent Wukich, M.D. NPI is 1184690489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

1801 INWOOD RD
DALLAS, TX
ZIP 75390-883
Phone: (214) 645-3300
Fax: (294) 645-3301

The NPI 1184690489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 5/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistR0524TEXASNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryR0524TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E83727MEDICARE UPINTEXAS
2001239430MEDICAIDTEXAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.