Canton Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CANTON PODIATRY PLLC

Practice address

42017 Ford Rd
Canton, MI 48187-3669

Phone

(734) 751-0203

Fax

(734) 237-1237

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Laal S Zada, MDNPI 1902096902

Title

President

Phone

(734) 751-0203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Laal S. Zada, DPM

  • Foot Surgery Podiatrist
  • Brownstown TWP, MI
  • NPI 1902096902
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1053887869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42017 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873669",
            "telephone_number": "734-751-0203",
            "fax_number": "734-237-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42017 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873669",
            "telephone_number": "734-751-0203",
            "fax_number": "734-237-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "ZADA",
        "authorized_official_first_name": "LAAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-751-0203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton Pediatric Dentistry, PLLC
• Canton Pediatrics
• Canton Pediatrics Clinic PLLC
• Canton Pharmacy Group, Inc (Cherry Oak Pharmacy)
• Canton Plymouth Family Dental PLLC (Canton Plymouth Family Dentistry)
• Canton Professional Services, Inc.
• Canton Specialty Pharmacy LLC (Canton Pharmacy)
• Canton Urgent Care PC
• Canton Urgent Care Walk-in Clinic PC
• Gemirria Canty, REGISTERED NURSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.