TIMOTHY A VAN DYNE DPM INC
NPI 1962629824
Clinic/Center - Podiatric in Fresno, CA

Active since April 19, 2007
5777 N FRESNO ST, SUITE 102, FRESNO, CA 93710(559) 435-0261 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy A Van Dyne Dpm Inc NPPES

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

TIMOTHY A VAN DYNE DPM INC (NPI 1962629824) is a healthcare organization registered as a podiatric in Fresno, California and active in the NPI registry since April 2007. The organization lists Timothy Allen Van Dyne, President, as its authorized official.

NPPES Registry Identity

NPI1962629824
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameTIMOTHY A VAN DYNE DPM INC
Location Address5777 N FRESNO ST, SUITE 102Fresno, CA 93710-6065
Mailing Address5777 N Fresno St, Suite 102Fresno, CA 93710-6065 · (559) 435-0261
Organization SubpartNo
Authorized OfficialTimothy Allen Van DynePresident · (559) 435-0261
Enumeration DateApril 19, 2007
Last NPPES UpdateFebruary 24, 2012
NPI 1962629824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License Licensed in CA · E2025
5777 N FRESNO ST, Fresno, CA 93710

Other Identifiers 1

OtherE2025CA · Medicare Id 000e20250

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.

Podiatrist (Foot & Ankle Surgery)
5777 N FRESNO ST, SUITE 102
FRESNO, CA 93710
Podiatrist (Foot & Ankle Surgery)
5777 N FRESNO ST, SUITE 102
FRESNO, CA 93710
Dentist (General Practice)
5777 N FRESNO ST, STE 110
FRESNO, CA 93710

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 Timothy A Van Dyne Dpm Inc's NPI number?

The NPI number for Timothy A Van Dyne Dpm Inc is 1962629824. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Timothy A Van Dyne Dpm Inc located?

Timothy A Van Dyne Dpm Inc is located at 5777 N Fresno St Suite 102, Fresno, CA 93710. The listed phone number is (559) 435-0261.

What is Timothy A Van Dyne Dpm Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Timothy A Van Dyne Dpm Inc was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.