Organization Active NPI

Dr Mayer Salama PC

  • Podiatrist
  • Dearborn, MI
National Provider Identifier
1063595064
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MS000918 Issued in MI
Legal business name
DR MAYER SALAMA PC
Practice address
2200 Monroe
Dearborn, MI 48124
Phone
(313) 274-0990
Fax
(313) 274-8120
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Mayer Salama, DPM
Title
President
Phone
(313) 274-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MS000918 MI Primary

Addresses

Primary practice location

2200 Monroe
Dearborn, MI 48124

Mailing address

2200 Monroe
Dearborn, MI 48124
Phone (313) 274-0990

Other identifiers 1

IdentifierTypeStateIssuer
1799427MedicaidMI

Other names 1

  • Dearborn Foot Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

6770 Dixie Hwy
Ste 101
Clarkston, MI 48346
Phone (248) 625-1110

3408 West Rd
Trenton, MI 48183
Phone (313) 676-4664

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1063595064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MONROE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-274-0990",
            "fax_number": "313-274-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MONROE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-274-0990",
            "fax_number": "313-274-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAYER SALAMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-274-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "MS000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dearborn Foot Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.