Organization Active NPI

Michael B. Stern, D.P.M., P.C.

  • Podiatrist
  • Northglenn, CO
National Provider Identifier
1225237720
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00275 Issued in CO
Legal business name
MICHAEL B. STERN, D.P.M., P.C.
Practice address
10465 Melody Dr
Suite 313
Northglenn, CO 80234-4119
Phone
(303) 451-5900
Fax
(303) 451-1233
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Dr. Michael Barry Stern, D.P.M.NPI 1962414797
Title
President
Phone
(303) 451-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00275 CO Primary

Addresses

Primary practice location

10465 Melody Dr
Suite 313
Northglenn, CO 80234-4119

Mailing address

10465 Melody Dr
Suite 313
Northglenn, CO 80234-4119
Phone (303) 451-5900

Other identifiers 1

IdentifierTypeStateIssuer
01002757MedicaidCO

National Provider Directory

National Provider Directory

Locations

830 Potomac Cir
Unit 340
Aurora, CO 80011
Phone (303) 366-8191

11275 E Mississippi Ave
Ste 1S5
Aurora, CO 80012
Phone (303) 364-1422

10465 Melody Dr
Ste 313
Northglenn, CO 80234
Phone (303) 451-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1225237720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR",
            "address_2": "SUITE 313",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344119",
            "telephone_number": "303-451-5900",
            "fax_number": "303-451-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR",
            "address_2": "SUITE 313",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344119",
            "telephone_number": "303-451-5900",
            "fax_number": "303-451-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. STERN, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-451-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "00275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01002757",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.