House Call Foot Specialists PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002098 Issued in MI

Legal business name

HOUSE CALL FOOT SPECIALISTS PLLC

Practice address

32747 Kelly Blvd
Brownstown, MI 48173-8634

Phone

(313) 610-0489

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Ian Maki, D.P.M.NPI 1871547513

Title

Owner

Phone

(313) 610-0489

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Ian Maki, D.P.M.

  • Podiatrist
  • Brownstown, MI
  • NPI 1871547513
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1053508341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481920262",
            "telephone_number": "313-610-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32747 KELLY BLVD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481738634",
            "telephone_number": "313-610-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL FOOT SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-610-0489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Brownstown, MI
• Providers in Brownstown, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.