Active NPI
Mitchell G Silverman, DPM
- Podiatrist
- Dorchester, MA
National Provider Identifier
1033204268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1778
- Practice address
- 415 Columbia Rd
Uphams Corner Health Center
Dorchester, MA 02125-2424 - Phone
- (617) 287-8000
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1778 | MA | Primary |
Addresses
Primary practice location
415 Columbia Rd
Uphams Corner Health Center
Dorchester, MA 02125-2424
Mailing address
16 Burnt Swamp Rd
Cumberland, RI 02864-1208
Phone (401) 334-2855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361488 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1778 | RI | MD | Pharmacist |
| 1778 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033204268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BURNT SWAMP RD",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028641208",
"telephone_number": "401-334-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COLUMBIA RD",
"address_2": "UPHAMS CORNER HEALTH CENTER",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021252424",
"telephone_number": "617-287-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "MITCHELL",
"middle_name": "G",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361488",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.