Gary W Docks DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

GW000785 Issued in MI

Legal business name

GARY W DOCKS DPM PLLC

Practice address

18810 Beverly Rd
Beverly Hills, MI 48025-4014

Phone

(248) 646-5209

Fax

(248) 203-6927

NPI assigned

Jan 14, 2008

Last updated

Jan 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary W Docks, DPMNPI 1558370197

Title

Physician

Phone

(248) 646-5209

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Gary Wolk Docks, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, MI
  • NPI 1558370197
  NPD (past) Authorized official

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1093991671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18810 BEVERLY RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254014",
            "telephone_number": "248-646-5209",
            "fax_number": "248-203-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18810 BEVERLY RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254014",
            "telephone_number": "248-646-5209",
            "fax_number": "248-203-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W DOCKS DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "DOCKS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-646-5209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "GW000785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4856312950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "GD000785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lauren Fantich, CCC-SLP
• Jon Fibeger, MASTERS
• Lisa Ann Findling, M.S.
• Sarah Anne Forgach I
• Frank Yono, M.D., P.C.
• Courtney Gasper
• George C El Hajj DPM PC
• George Doskoris, DDS, PC (Beverly Hills Smiles)
• Andra Elena Giallousis
• Sarah Glonek

• Foot & Ankle Surgery Podiatrist in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.