Organization Active NPI

Greenville Family Foot Care P C

  • Podiatrist
  • Greenville, MI
National Provider Identifier
1083945281
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001690 Issued in MI
Legal business name
GREENVILLE FAMILY FOOT CARE P C
Practice address
917 N Lafayette St
Greenville, MI 48838-1129
Phone
(616) 754-9580
Fax
(616) 754-9519
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Frank Paul Webber, DPM
Title
Owner
Phone
(616) 754-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001690 MI Primary

Addresses

Primary practice location

917 N Lafayette St
Greenville, MI 48838-1129

Mailing address

917 N Lafayette St
Greenville, MI 48838-1129
Phone (616) 754-9580

Other identifiers 2

IdentifierTypeStateIssuer
132955099MedicaidMI
5591031OtherMIBCBSM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1083945281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N LAFAYETTE ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381129",
            "telephone_number": "616-754-9580",
            "fax_number": "616-754-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N LAFAYETTE ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381129",
            "telephone_number": "616-754-9580",
            "fax_number": "616-754-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE FAMILY FOOT CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-754-9580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132955099",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5591031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.