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DR. DOMINICK DETOMMASO D.P.M.
NPI 1013910041
Podiatrist - Foot & Ankle Surgery in Fort Wayne, IN

Active since May 23, 2005
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dominick Detommaso D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMINICK DETOMMASO D.P.M. (NPI 1013910041) is an individual foot & ankle surgery provider in Fort Wayne, Indiana, licensed in Indiana (07000410A) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1013910041
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. DOMINICK DETOMMASOCredential: D.P.M.
Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133
Mailing Address7601 W Jefferson BlvdFort Wayne, IN 46804-4133 · (260) 436-8686 · Fax (260) 436-8585
Phone(260) 436-8686
Fax(260) 436-8585
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateMarch 22, 2016
✔ NPI 1013910041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IN · 07000410A
Also ListedPodiatristTaxonomy 213E00000X · License 07000410A (IN)
7601 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 5

Other200021084Railroad Medicare
Medicaid100053980AIN
Medicare PIN665600AIN
Medicare UPINT34491IN
Other00000089407Anthem

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAGE MANNING CAUDELL D.P.M.
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
JAMIE A MATZ NP
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
PETER A PAONESSA P.T.
Physical Therapist
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
HOPE E. ROYCE NP
Nurse Practitioner (Family)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
FORT WAYNE ORTHOPAEDICS, LLC
Durable Medical Equipment & Medical Supplies
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
DR. JONATHAN DETOMMASO DPM
Podiatrist (Foot & Ankle Surgery)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
IAN R NELSON M.D.
Orthopaedic Surgery
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686
DR. JOHN PAUL MAGNO MANALO M.D.
Orthopaedic Surgery
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-8686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominick Detommaso's NPI number?

The NPI number for Dominick Detommaso is 1013910041. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Dominick Detommaso located?

Dominick Detommaso practices at 7601 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-8686.

What is Dominick Detommaso's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Dominick Detommaso was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.