Timothy a Van Dyne DPM Inc
NPI 1962629824 · Podiatric Clinic/Center · Fresno, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy a Van Dyne DPM Inc is a Podiatric Clinic/Center organization in Fresno, CA (NPI 1962629824).
Provider details
- NPI number
- 1962629824
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Van Dyne, President(559) 435-0261
- License
- E2025 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2012-02-24
Frequently asked questions
- What is Timothy a Van Dyne DPM Inc's NPI number?
- Timothy a Van Dyne DPM Inc's National Provider Identifier (NPI) is 1962629824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy a Van Dyne DPM Inc?
- Timothy a Van Dyne DPM Inc is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Timothy a Van Dyne DPM Inc located?
- Timothy a Van Dyne DPM Inc's practice location on file with NPPES is 5777 N Fresno St, Fresno, CA 93710-6065.
- What is Timothy a Van Dyne DPM Inc's phone number?
- The practice phone number listed in the NPPES registry for Timothy a Van Dyne DPM Inc is (559) 435-0261.
- Does Timothy a Van Dyne DPM Inc accept Medicare?
- Timothy a Van Dyne DPM Inc 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 Timothy a Van Dyne DPM Inc?
- The authorized official listed on Timothy a Van Dyne DPM Inc's NPPES record is Timothy Van Dyne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy a Van Dyne DPM Inc's NPI active?
- Yes — Timothy a Van Dyne DPM Inc's NPI (1962629824) is active in the NPPES registry as of the last update on 2012-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.