Active NPI
Donald Clemente PLLC
- Podiatrist
- Troy, MI
National Provider Identifier
1154439651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001978
- Legal business name
- DONALD CLEMENTE PLLC
- Practice address
- 2183 Newburgh Dr
Troy, MI 48083-2524 - Phone
- (248) 528-2599
- Fax
- (248) 528-2599
- NPI assigned
- Aug 26, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Donald Michael Clemente Jr., DPM
- Title
- Sole Member
- Phone
- (734) 788-2107
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001978 | MI | Primary |
Addresses
Primary practice location
2183 Newburgh Dr
Troy, MI 48083-2524
Mailing address
2183 Newburgh Dr
Troy, MI 48083-2524
Phone (248) 528-2599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4856352060 | Other | MI | BCBS OF MICHIGAN |
| 4467304 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Podiatrist
- Troy, MI
- NPI 1871786707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154439651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2183 NEWBURGH DR",
"city": "TROY",
"state": "MI",
"postal_code": "480832524",
"telephone_number": "248-528-2599",
"fax_number": "248-528-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2183 NEWBURGH DR",
"city": "TROY",
"state": "MI",
"postal_code": "480832524",
"telephone_number": "248-528-2599",
"fax_number": "248-528-2599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD CLEMENTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLEMENTE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "734-788-2107",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "4856352060",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4467304",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.