Organization Active NPI

Canton Foot Specialist PC

  • Podiatrist
  • Canton, MI
National Provider Identifier
1225021355
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001518 Issued in MI
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

Updated by the provider on May 27, 2008

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.