Active NPI
Canton Foot Specialist PC
- Podiatrist
- Canton, MI
National Provider Identifier
1225021355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001518
- Legal business name
- CANTON FOOT SPECIALIST PC
- Practice address
- 43050 Ford Rd
Suite 150
Canton, MI 48187-3359 - Phone
- (734) 981-7800
- Fax
- (734) 981-0487
- NPI assigned
- Aug 24, 2005
- 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
- Cindy W House
- Title
- Business Manager
- Phone
- (734) 981-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001518 | MI | Primary |
Addresses
Primary practice location
43050 Ford Rd
Suite 150
Canton, MI 48187-3359
Mailing address
43050 Ford Rd
Suite 150
Canton, MI 48187-3359
Phone (734) 981-7800
National Provider Directory
National Provider DirectoryLocations
43050 Ford Rd
Ste 150
Canton, MI 48187
Phone (734) 781-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1225021355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43050 FORD RD",
"address_2": "SUITE 150",
"city": "CANTON",
"state": "MI",
"postal_code": "481873359",
"telephone_number": "734-981-7800",
"fax_number": "734-981-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43050 FORD RD",
"address_2": "SUITE 150",
"city": "CANTON",
"state": "MI",
"postal_code": "481873359",
"telephone_number": "734-981-7800",
"fax_number": "734-981-0487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANTON FOOT SPECIALIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "HOUSE",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "734-981-7800"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.