DR. DOUGLAS DARREN PRESTA DPM NPI 1669463519

NPI Information

  • NPI: 1669463519
  • Provider Name: DR. DOUGLAS DARREN PRESTA, DPM
  • Classification: Podiatrist - 213ES0000X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 4361 TALBOT RD S
    SUITE 101
    RENTON, WA
    ZIP 98055
  • Phone: (425) 336-4442

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NPI Details

DR. Douglas Darren Presta, DPM is a sports 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 9/11/2025.

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
1213EP1101XPodiatristPrimary Podiatric Medicine0196005WASHINGTONNo
2213ES0000XPodiatristSports Medicine0196005WASHINGTONYes
3213ES0103XPodiatristFoot & Ankle Surgery0196005WASHINGTONNo

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
10293820001OTHERWASHINGTONCIGNA MEDICARE
21597PROTHERWASHINGTONREGENCE
30056910OTHERWASHINGTONWORKERS COMP GRP #
4VA5229OTHERWASHINGTONREGENCE GROUP #
58274391MEDICAIDWASHINGTON
60196005OTHERWASHINGTONWORKERS 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: 11/21/2025

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