Active NPI
Northfield Podiatry Associates P C
- Podiatrist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001390
- Legal business name
- NORTHFIELD PODIATRY ASSOCIATES P C
- Practice address
- 2501 Plainfield Ave NE
Suite C
Grand Rapids, MI 49505-3700 - Phone
- (616) 364-8495
- Fax
- (616) 364-1955
- NPI assigned
- Dec 21, 2006
- 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
- Martin G Hoffmeister, D.P.M.
- Title
- Vice President
- Phone
- (616) 364-8495
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001390 | MI | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 5901001390 | MI |
Addresses
Primary practice location
2501 Plainfield Ave NE
Suite C
Grand Rapids, MI 49505-3700
Mailing address
2501 Plainfield Ave NE
Suite C
Grand Rapids, MI 49505-3700
Phone (616) 364-8495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH001390 | Other | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2501 Plainfield Ave NE
Ste C
Grand Rapids, MI 49505
Phone (616) 364-8495
2501 Plainfield Ave NE
Grand Rapids, MI 49505
Phone (616) 363-6612
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Grand Rapids, MI
- NPI 1699839365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1124182456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 PLAINFIELD AVE NE",
"address_2": "SUITE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053700",
"telephone_number": "616-364-8495",
"fax_number": "616-364-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 PLAINFIELD AVE NE",
"address_2": "SUITE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053700",
"telephone_number": "616-364-8495",
"fax_number": "616-364-1955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHFIELD PODIATRY ASSOCIATES P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A",
"authorized_official_last_name": "HOFFMEISTER",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "616-364-8495",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001390",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MI",
"license": "5901001390",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "MH001390",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
- North Kent Guidance Services LLC
- North Park Family Dental PLLC
- North Pines Dentistry PLLC
- Northern Behavioral Solutions LLC
- Northern Oncology Services PLLC
- Northland Hearing Centers, Inc.
- Northpointe Dental and Implant Center of Wyoming PLLC
- Northpointe Family Dental
- Northside Chiropractic LLC
- Northview Care Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.