Active NPI
Kevin C Sorensen DPM PC
Doing business as Novi Foot & Ankle Specialist
- Foot & Ankle Surgery Podiatrist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- KEVIN C SORENSEN DPM PC
- Doing business as
- Novi Foot & Ankle Specialist
- Practice address
- 44000 W 12 Mile Rd
Ste 111
Novi, MI 48377-2644 - Phone
- (248) 347-8233
- NPI assigned
- Mar 23, 2016
- Last updated
- Mar 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin C Sorensen, DPM
- Title
- Owner
- Phone
- (419) 345-7867
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
44000 W 12 Mile Rd
Ste 111
Novi, MI 48377-2644
Mailing address
44000 W 12 Mile Rd
Ste 111
Novi, MI 48377-2644
Phone (248) 347-8233
Other names 1
- Novi Foot & Ankle Specialist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Kevin C Sorensen DPM PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Novi, MI
- NPI 1760849327
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Novi, MI
- NPI 1710986047
-
- Podiatrist
- Novi, MI
- NPI 1558360875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1063874659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44000 W 12 MILE RD",
"address_2": "STE 111",
"city": "NOVI",
"state": "MI",
"postal_code": "483772644",
"telephone_number": "248-347-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44000 W 12 MILE RD",
"address_2": "STE 111",
"city": "NOVI",
"state": "MI",
"postal_code": "483772644",
"telephone_number": "248-347-8233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN C SORENSEN DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-23",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "SORENSEN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-345-7867",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novi Foot & Ankle Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.