Active NPI
Nelson Joseph Pont, DPM
- Primary Podiatric Medicine Podiatrist
- Dearborn Heights, MI
National Provider Identifier
1295727378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 000453
- Practice address
- 8623 N Telegraph Rd
Dearborn Heights, MI 48127-1489 - Phone
- (313) 563-3750
- Fax
- (313) 563-4434
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 000453 | MI | Primary |
Addresses
Primary practice location
8623 N Telegraph Rd
Dearborn Heights, MI 48127-1489
Mailing address
8623 N Telegraph Rd
Dearborn Heights, MI 48127-1489
Phone (313) 563-3750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4816170001 | Other | MI | DMERC |
| 8825378 | Other | MI | BLUECROSS BLUESHIELD |
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 |
|---|---|---|---|
| 000453 | MI | MD | Primary Podiatric Medicine 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": "1268870400000",
"number": "1295727378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8623 N TELEGRAPH RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271489",
"telephone_number": "313-563-3750",
"fax_number": "313-563-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8623 N TELEGRAPH RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271489",
"telephone_number": "313-563-3750",
"fax_number": "313-563-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONT",
"first_name": "NELSON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MI",
"license": "000453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4816170001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8825378",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.