MR. DANA CHARLES NIENDORF MD
NPI 1588674147
Urology in Petaluma, CA

Q: What is Dana Niendorf's NPI number?

The NPI number for Dana Niendorf is 1588674147. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Dana Niendorf's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Dana Niendorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 08, 2006

1496 PROFESSIONAL DR, STE 603, PETALUMA, CA 94954(707) 762-0059(707) 762-8011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Dana Charles Niendorf Md NPPES

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

MR. DANA CHARLES NIENDORF MD (NPI 1588674147) is an individual urology provider in Petaluma, California, licensed in California (G24293) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1588674147

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMR. DANA CHARLES NIENDORFCredential: MD

Location Address1496 PROFESSIONAL DR, STE 603Petaluma, CA 94954

Mailing Address1496 Professional Dr, Ste 603Petaluma, CA 94954 · (707) 762-0059 · Fax (707) 762-8011

Phone(707) 762-0059

Fax(707) 762-8011

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1588674147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · G24293

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1496 PROFESSIONAL DR, Petaluma, CA 94954

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Other Identifiers 3

Medicaid5233018CA

Medicare ID-Type UnspecifiedA42222

Medicare UPINA42222

Other Providers at the Same Location NPPES 3

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

DAVID MARK RUDNICK MD

Urology

1496 PROFESSIONAL DR, SUITE 603
PETALUMA, CA 94954

Sonoma County (707) 762-0059

MARK R NORTHFIELD, M.D.

Specialist

1496 PROFESSIONAL DR, SUITE 601
PETALUMA, CA 94954

Sonoma County (707) 778-1131

JAMES J. GLYNN, M.D. A MEDICAL CORPORATION

Specialist

1496 PROFESSIONAL DR, SUITE 601
PETALUMA, CA 94954

Sonoma County (707) 778-1131

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 Dana Niendorf's NPI number?

The NPI number for Dana Niendorf is 1588674147. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Dana Niendorf located?

Dana Niendorf practices at 1496 Professional Dr Ste 603, Petaluma, CA 94954. The listed phone number is (707) 762-0059.

What is Dana Niendorf's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Dana Niendorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.