DAVID L PONTELL DPM NPI 1457352239

NPI Information

NPI: 1457352239
Provider Name: DAVID L PONTELL, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
3025 HAMAKER CT
#340
FAIRFAX, VA
ZIP 22031
Phone: (703) 849-8400
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David L Pontell, DPM is a foot and ankle surgery podiatrist in Fairfax, VA. David L Pontell, DPM NPI is 1457352239. 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:

3025 HAMAKER CT
#340
FAIRFAX, VA
ZIP 22031-237
Phone: (703) 849-8400
Fax: (703) 849-8448

The NPI 1457352239 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).

The enumeration date for this NPI number is 8/3/2005 and was last updated on 12/26/2011.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	0103000756	VIRGINIA	Yes

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	3307-0001	OTHER		CAREFIRST
2	09320300	MEDICAID	VIRGINIA
3	059115	OTHER		ANTHEM
4	2700107	OTHER		UNITED HEALTHCARE
5	22674	OTHER		MDIPA OPT CHOICE ALLIANCE
6	T31234	MEDICARE UPIN
7	G00455	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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