Organization Active NPI

Keith B Daniels DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
National Provider Identifier
1205043361
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
KD001100 Issued in MI
Legal business name
KEITH B DANIELS DPM PC
Practice address
2811 E Court St
Flint, MI 48506-4054
Phone
(810) 424-3338
Fax
(810) 424-3226
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Keith B Daniels, DPM
Title
President
Phone
(810) 424-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X KD001100 MI Primary

Addresses

Primary practice location

2811 E Court St
Flint, MI 48506-4054

Mailing address

2811 E Court Ste B
PO Box 228
Flint, MI 48501
Phone (810) 424-3338

National Provider Directory

National Provider Directory

Locations

2811 E Court St
Flint, MI 48506
Phone (810) 232-6081

2811 E Court St
Ste B
Flint, MI 48506
Phone (810) 424-3338

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1205043361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E COURT STE B",
            "address_2": "PO BOX 228",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48501",
            "telephone_number": "810-424-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064054",
            "telephone_number": "810-424-3338",
            "fax_number": "810-424-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH B DANIELS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-424-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "KD001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.