1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Podiatrist
  6. NPI Profile

WAYNE DUNETZ DPM PAC LLC
NPI 1104070465
Podiatrist in Las Vegas, NV

Active since November 12, 2008
4450 E WASHINGTON AVE, LAS VEGAS, NV 89110(702) 821-6763(702) 684-6015 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wayne Dunetz Dpm Pac Llc NPPES

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

WAYNE DUNETZ DPM PAC LLC (NPI 1104070465) is a healthcare organization registered as a podiatrist in Las Vegas, Nevada and active in the NPI registry since November 2008. The organization maintains a secondary practice location in Las Vegas and lists Wayne Adam Dunetz, Owner, as its authorized official.

NPPES Registry Identity

NPI1104070465
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameWAYNE DUNETZ DPM PAC LLC
Location Address4450 E WASHINGTON AVELas Vegas, NV 89110-5783
Mailing AddressPo Box 31327Las Vegas, NV 89173-1327 · (702) 821-6763
Phone(702) 821-6763
Fax(702) 684-6015
Organization SubpartNo
Authorized OfficialWayne Adam DunetzOwner · (702) 821-6763
Enumeration DateNovember 12, 2008
Last NPPES UpdateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
✔ NPI 1104070465 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 NV · 9904
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.
4450 E WASHINGTON AVE, Las Vegas, NV 89110
Open in Google Maps ↗

Secondary Practice Location 1

Location 11725 S Rainbow Blvd Ste 18Las Vegas, NV 89146-0033 · Phone (702) 821-6763 · Fax (702) 684-6015

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Dunetz Dpm Pac Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wayne Dunetz DPM Pac LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wayne Dunetz, D.P.M.
Podiatry
NPI 1245371392
4450 E WASHINGTON AVE
Las Vegas, NV 89110
(702) 821-6763
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wayne Dunetz Dpm Pac LLC's NPI number?

The NPI number for Wayne Dunetz Dpm Pac LLC is 1104070465. It was assigned to this organization in the NPPES registry on November 12, 2008.

Where is Wayne Dunetz Dpm Pac LLC located?

Wayne Dunetz Dpm Pac LLC is located at 4450 E Washington Ave, Las Vegas, NV 89110. The listed phone number is (702) 821-6763.

What is Wayne Dunetz Dpm Pac LLC's specialty?

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

Is Wayne Dunetz Dpm Pac LLC enrolled in Medicare?

Yes. Wayne Dunetz Dpm Pac LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayne Dunetz Dpm Pac LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Wayne Dunetz Dpm Pac LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wayne Dunetz Dpm Pac LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Wayne Dunetz Dpm Pac LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Dunetz Dpm Pac LLC was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.