Organization Active NPI

Jack Janigian DPM PC

  • Podiatrist
  • Northville, MI
National Provider Identifier
1013027887
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000709 Issued in MI
Legal business name
JACK JANIGIAN DPM PC
Practice address
42925 7 Mile
Northville, MI 48167-2277
Phone
(248) 349-3900
Fax
(248) 348-3851
NPI assigned
Aug 30, 2006
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jack Janigian, DPMNPI 1750357083
Title
President
Phone
(248) 682-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000709 MI Primary

Addresses

Primary practice location

42925 7 Mile
Northville, MI 48167-2277

Mailing address

43134 Sandstone Dr
Novi, MI 48377-2718
Phone (248) 682-2900

Other identifiers 1

IdentifierTypeStateIssuer
1948616MedicaidMI

National Provider Directory

National Provider Directory

Locations

42925 7 Mile Rd
Northville, MI 48167
Phone (248) 349-3900

950 N Cass Lake Rd
Ste 103
Waterford, MI 48328
Phone (248) 682-2900

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1013027887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43134 SANDSTONE DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772718",
            "telephone_number": "248-682-2900",
            "fax_number": "810-688-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42925 7 MILE",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672277",
            "telephone_number": "248-349-3900",
            "fax_number": "248-348-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK JANIGIAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "JANIGIAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-682-2900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "000709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.