Organization Active NPI

Alexander Thomas DPM PC

  • Podiatrist
  • Dearborn, MI
National Provider Identifier
1174072763
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002550 Issued in MI
Legal business name
ALEXANDER THOMAS DPM PC
Practice address
7243 Chase Rd
Dearborn, MI 48126-1301
Phone
(313) 582-6222
Fax
(313) 582-0166
NPI assigned
Sep 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Dr. Alexander Paul Thomas, DPMNPI 1922464627
Title
Owner
Phone
(313) 582-6222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901002550 MI Primary

Addresses

Primary practice location

7243 Chase Rd
Dearborn, MI 48126-1301

Mailing address

7243 Chase Rd
Dearborn, MI 48126-1301
Phone (313) 582-6222

Other identifiers 1

IdentifierTypeStateIssuer
1922464627MedicaidMI

Other names 1

  • MI Foot and Ankle Specialist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170419001965 MI Part B Supplier - Clinic/Group Practice 8628354099 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn, MI
O20170720003266 MI DME Supplier - Physician - Podiatry 8628354099 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1174072763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261301",
            "telephone_number": "313-582-6222",
            "fax_number": "313-582-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261301",
            "telephone_number": "313-582-6222",
            "fax_number": "313-582-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER THOMAS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-582-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922464627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI Foot and Ankle Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.

Verify at the official NPI Registry.