Mark E Domaas LLC
NPI 1720633373 · Primary Podiatric Medicine Podiatrist · Fargo, ND
Mark E Domaas LLC is a Primary Podiatric Medicine Podiatrist organization in Fargo, ND (NPI 1720633373).
Provider details
- NPI number
- 1720633373
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Mark Domaas, President(701) 561-3312
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Other name
- Advanced Foot & Ankle
- Other name
- Advanced Foot & Ankle
Registry dates
- Enumerated
- 2019-08-09
- Last updated
- 2020-04-28
- Certified
- 2020-04-28
Frequently asked questions
- What is Mark E Domaas LLC's NPI number?
- Mark E Domaas LLC's National Provider Identifier (NPI) is 1720633373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark E Domaas LLC?
- Mark E Domaas LLC is classified in the NPPES registry as Primary Podiatric Medicine Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mark E Domaas LLC located?
- Mark E Domaas LLC's practice location on file with NPPES is 4450 31st Ave S Ste 102, Fargo, ND 58104-4557.
- What is Mark E Domaas LLC's phone number?
- The practice phone number listed in the NPPES registry for Mark E Domaas LLC is (763) 218-4771.
- Who is the authorized official for Mark E Domaas LLC?
- The authorized official listed on Mark E Domaas LLC's NPPES record is Mark Domaas, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark E Domaas LLC's NPI active?
- Yes — Mark E Domaas LLC's NPI (1720633373) is active in the NPPES registry as of the last update on 2020-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.