Organization Active NPI

Richland Podiatry PC

  • Podiatrist
  • Richland, MI
National Provider Identifier
1073553327
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000995 Issued in MI
Legal business name
RICHLAND PODIATRY PC
Practice address
8992 E D Ave
Richland, MI 49083
Phone
(269) 629-9783
Fax
(269) 629-9794
NPI assigned
Jun 7, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
James E Boyd, DPMNPI 1689614968
Title
President
Phone
(269) 629-9783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901000995 MI Primary

Addresses

Primary practice location

8992 E D Ave
Richland, MI 49083

Mailing address

8992 E D Ave
Rrichland, MI 49083
Phone (269) 629-9783

Other identifiers 1

IdentifierTypeStateIssuer
2117218MedicaidMI

National Provider Directory

National Provider Directory

Locations

6355 Pine Lake Rd
Delton, MI 49046
Phone (269) 623-3995

1312 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1073553327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8992 E D AVE",
            "city": "RRICHLAND",
            "state": "MI",
            "postal_code": "49083",
            "telephone_number": "269-629-9783",
            "fax_number": "269-629-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8992 E D AVE",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "49083",
            "telephone_number": "269-629-9783",
            "fax_number": "269-629-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-629-9783",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117218",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.