Individual provider Active NPI

Larry R Nishon, DPM

  • Foot Surgery Podiatrist
  • Okemos, MI
National Provider Identifier
1245239631
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
LN001085 Issued in MI
Practice address
2158 Commons Pkwy
Okemos, MI 48864-3986
Phone
(517) 349-6855
Fax
(517) 349-7158
NPI assigned
Jul 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LN001085 MI
Foot Surgery Podiatrist 213ES0131X LN001085 MI Primary

Addresses

Primary practice location

2158 Commons Pkwy
Okemos, MI 48864-3986

Mailing address

2158 Commons Pkwy
Okemos, MI 48864-3986
Phone (517) 349-6855

Other identifiers 4

IdentifierTypeStateIssuer
2700008OtherMIPHP
4814430001OtherMIDMERC
1710897MedicaidMI
4814430002OtherMIDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LN001085MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Plus PC Podiatrist Current Accepting new patients
Podiatry Plus PC Podiatrist Past Accepting new patients

Locations

912 Centennial Way
Ste 380
Lansing, MI 48917
Phone (517) 321-3668

2158 Commons Pkwy
Okemos, MI 48864
Phone (517) 349-6855

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245239631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 COMMONS PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643986",
            "telephone_number": "517-349-6855",
            "fax_number": "517-349-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 COMMONS PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643986",
            "telephone_number": "517-349-6855",
            "fax_number": "517-349-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHON",
        "first_name": "LARRY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LN001085",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "LN001085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "2700008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4814430001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710897",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4814430002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.