Dr Kyle W Sundblad PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DR KYLE W SUNDBLAD PC

Practice address

41400 Dequindre Rd
Ste 100
Sterling Heights, MI 48314-3763

Phone

(586) 731-7873

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Kyle Sundblad, DPMNPI 1205813797

Title

Owner

Phone

(586) 979-0560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Kyle Wayne Sundblad, DPM

  • Podiatrist
  • Sterling Heights, MI
  • NPI 1205813797
  Medicare reassignment Care Compare group NPD Authorized official
• Seyed Sadegh Arab, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warren, MI
  • NPI 1477074904
  Medicare reassignment Care Compare group NPD
• Margaret Mary Andrews, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ortonville, MI
  • NPI 1427286434
  Medicare reassignment NPD
• Matthew D Andrews, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ortonville, MI
  • NPI 1326317785
  Medicare reassignment NPD

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1053858217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-731-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KYLE W SUNDBLAD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "SUNDBLAD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-979-0560",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Doyle, D.O.
• Victoria Grace Doyle
• Imani Dozier
• DPT Holdings LLC (Doctors of Physical Therapy)
• Dr Gerard J Skrocki DPM
• Dr Pragnesh Patel PLC
• Dr. Amita Gupta M.D. PC
• Dr. Marc H. Beals P.C.
• Dr. Walter B Coleman P.C.
• Dr. Walter B. Coleman PC

• Podiatrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.