Wayne Dunetz DPM Pac LLC
NPI 1104070465 · Podiatrist · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wayne Dunetz DPM Pac LLC is a Podiatrist organization in Las Vegas, NV (NPI 1104070465).
Provider details
- NPI number
- 1104070465
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Wayne Dunetz, Owner(702) 821-6763
- License
- 9904 (NV)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1725 S Rainbow Blvd Ste 18Las Vegas, NV 89146-0033Phone: (702) 821-6763Fax: (702) 684-6015
Registry dates
- Enumerated
- 2008-11-12
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Wayne Dunetz DPM Pac LLC's NPI number?
- Wayne Dunetz DPM Pac LLC's National Provider Identifier (NPI) is 1104070465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne Dunetz DPM Pac LLC?
- Wayne Dunetz DPM Pac LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Wayne Dunetz DPM Pac LLC located?
- Wayne Dunetz DPM Pac LLC's practice location on file with NPPES is 4450 E Washington Ave, Las Vegas, NV 89110-5783.
- What is Wayne Dunetz DPM Pac LLC's phone number?
- The practice phone number listed in the NPPES registry for Wayne Dunetz DPM Pac LLC is (702) 821-6763.
- Does Wayne Dunetz DPM Pac LLC accept Medicare?
- Wayne Dunetz DPM Pac LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wayne Dunetz DPM Pac LLC?
- The authorized official listed on Wayne Dunetz DPM Pac LLC's NPPES record is Wayne Dunetz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne Dunetz DPM Pac LLC's NPI active?
- Yes — Wayne Dunetz DPM Pac LLC's NPI (1104070465) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.