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Deactivated NPI 1699872663 Deactivated / Inactive NPI Male Practitioner

Robert Garland Dirksen , CPO

Orthotist • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Dirksen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date July 29, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Robert Dirksen, CPO was a registered Orthotist practicing in Fresno, CA. Throughout an active medical career spanning 16 years, Robert Dirksen provided care at the practice location at 2039 N FINE AVE until profile deactivation on 2022-07-29.

Practice Location & Contact Primary Location

Practice Address

2039 N Fine Ave

Fresno, CA 937271512

Telephone 5592515557
Fax 5592515559
Associated Practice Facility / Clinic
🏢 Tammy L Dirksen Facility NPI 1558559484

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Fresno, CA (230 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1215579230

Certified Prosthetist Orthotist

NPI 1366621567

Certified Orthotist

Scott Wolf , PROSTHETIST

Prosthetic/Orthotic Supplier

NPI 1841923125

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 29, 2022

Record deactivated on July 29, 2022

NPI Profile Active October 24, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2007

Registered at 2039 N FINE AVE, FRESNO, CA 937271512 (Tel: 5592515557)

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Updated Business Mailing Address October 24, 2007

Registered at 2039 N FINE AVE, FRESNO, CA 937271512 (Tel: 5592515557)

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Provider Name / Credentials Updated October 24, 2007

Recorded as ROBERT DIRKSEN, CPO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2007

Orthotist

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Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699872663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: October 24, 2007
Deactivation Date: July 29, 2022

Mailing Address

2039 N Fine Ave

Fresno, CA 937271512

Phone: 5592515557

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.