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DAVID L DUTRA DPM INC
NPI 1043339328
Podiatrist in Jackson, CA

Active since March 28, 2007
613 NEW YORK RANCH RD, JACKSON, CA 95642(209) 223-3030(209) 223-5864 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David L Dutra Dpm Inc NPPES

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

DAVID L DUTRA DPM INC (NPI 1043339328) is a healthcare organization registered as a podiatrist in Jackson, California and active in the NPI registry since March 2007. The organization lists David L Dutra, Owner President, as its authorized official.

NPPES Registry Identity

NPI1043339328
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDAVID L DUTRA DPM INC
Location Address613 NEW YORK RANCH RDJackson, CA 95642-9328
Mailing AddressPo Box 938Jackson, CA 95642-0938 · (209) 223-3030 · Fax (209) 223-5864
Phone(209) 223-3030
Fax(209) 223-5864
Organization SubpartNo
Authorized OfficialDavid L DutraOwner President · (209) 223-3030
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 27, 2011
✔ NPI 1043339328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E3190
Definition
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.
613 NEW YORK RANCH RD, Jackson, CA 95642
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Other Identifiers 1

Medicare NSC0781440001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DAVID LEE DUTRA DPM
Podiatrist
613 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-3030

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 David L Dutra Dpm Inc's NPI number?

The NPI number for David L Dutra Dpm Inc is 1043339328. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is David L Dutra Dpm Inc located?

David L Dutra Dpm Inc is located at 613 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 223-3030.

What is David L Dutra Dpm Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for David L Dutra Dpm Inc was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.