Active NPI
Keith B Daniels DPM PC
- Foot & Ankle Surgery Podiatrist
- Flint, MI
National Provider Identifier
1205043361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- KD001100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 DirectoryLocations
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.