Organization Active NPI

Downriver Family Care

  • General Practice Physician
  • Woodhaven, MI
National Provider Identifier
1235438425
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101006701 Issued in MI
Legal business name
DOWNRIVER FAMILY CARE
Practice address
26375 Allen Rd
Woodhaven, MI 48183-4352
Phone
(734) 775-2796
Fax
(734) 362-0603
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. John Barden, DO
Title
Owner
Phone
(734) 775-2796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 5101006701 MI Primary

Addresses

Primary practice location

26375 Allen Rd
Woodhaven, MI 48183-4352

Mailing address

26375 Allen Rd
Woodhaven, MI 48183-4352
Phone (734) 775-2796

National Provider Directory

National Provider Directory
Tax ID family
Downriver Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1235438425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26375 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481834352",
            "telephone_number": "734-775-2796",
            "fax_number": "734-362-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26375 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481834352",
            "telephone_number": "734-775-2796",
            "fax_number": "734-362-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "BARDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-775-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101006701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.