Active NPI
Alan Richard Cornfield, D.P.M.
- Podiatrist
- Royal Oak, MI
National Provider Identifier
1285626317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- AC000484
- Practice address
- 1026 S Washington Ave
Royal Oak, MI 48067-3218 - Phone
- (248) 541-4311
- Fax
- (248) 541-9036
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | AC000484 | MI | Primary |
Addresses
Primary practice location
1026 S Washington Ave
Royal Oak, MI 48067-3218
Mailing address
1026 S Washington Ave
Royal Oak, MI 48067-3218
Phone (248) 541-4311
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC000484 | MI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1285626317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 S WASHINGTON AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673218",
"telephone_number": "248-541-4311",
"fax_number": "248-541-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 S WASHINGTON AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673218",
"telephone_number": "248-541-4311",
"fax_number": "248-541-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNFIELD",
"first_name": "ALAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "AC000484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.