DR. LORENE ANN VAN DAM DPM
NPI 1265588479
Podiatrist - Foot Surgery in Springfield, MO

Q: What is Lorene Van Dam's NPI number?

The NPI number for Lorene Van Dam is 1265588479. It was assigned to this individual provider in the NPPES registry on January 28, 2007.

Q: What is Lorene Van Dam's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for Lorene Van Dam was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 28, 2007PECOS Enrolled

4870 W KINGSBURY ST, SPRINGFIELD, MO 65802(417) 299-7602 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lorene Ann Van Dam Dpm NPPES

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

DR. LORENE ANN VAN DAM DPM (NPI 1265588479) is an individual foot surgery provider in Springfield, Missouri, licensed in Missouri (686) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265588479

Entity TypeIndividualFemale

Primary Taxonomy213ES0131X

Provider Legal NameDR. LORENE ANN VAN DAMCredential: DPM

Location Address4870 W KINGSBURY STSpringfield, MO 65802-7710

Mailing Address4870 W Kingsbury StSpringfield, MO 65802-7710 · (417) 299-7602

Phone(417) 299-7602

Sole ProprietorYes

Enumeration DateJanuary 28, 2007

Last NPPES UpdateJune 10, 2010

✔ NPI 1265588479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in MO · 686

4870 W KINGSBURY ST, Springfield, MO 65802

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lorene Ann Van Dam Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Lorene Van Dam's NPI number?

The NPI number for Lorene Van Dam is 1265588479. It was assigned to this individual provider in the NPPES registry on January 28, 2007.

Where is Lorene Van Dam located?

Lorene Van Dam practices at 4870 W Kingsbury St, Springfield, MO 65802. The listed phone number is (417) 299-7602.

What is Lorene Van Dam's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Lorene Van Dam enrolled in Medicare?

Yes. Lorene Van Dam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lorene Van Dam was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.