Michael Salcedo DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000626A Issued in IN

Legal business name

MICHAEL SALCEDO DPM

Practice address

3665 Park PL W
Suite 200
Mishawaka, IN 46545-3566

Phone

(574) 271-1030

Fax

(574) 271-1032

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Salcedo, DPMNPI 1528065059

Title

Owner

Phone

(574) 271-1030

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• University Park Podiatry Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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.

• Michael Salcedo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mishawaka, IN
  • NPI 1528065059
  NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1295753267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 PARK PL W",
            "address_2": "SUITE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453566",
            "telephone_number": "574-271-1030",
            "fax_number": "574-271-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 PARK PL W",
            "address_2": "SUITE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453566",
            "telephone_number": "574-271-1030",
            "fax_number": "574-271-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SALCEDO DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-271-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000626A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000626A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425560A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR SALCEDO",
            "identifier": "1528065059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Park Podiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph M Meszaros, PHARM. D, RPH
• Gary Q Metzler, DDS
• Katie Meyer, BCBA
• Steven M Mezsick, M.D.
• Michael L Rupley PHD PC (Michiana Psychological Associates)
• Lisa Marie Michalski
• Michiana Chiropractic Center
• Michiana Dental Care (Midwest Family Dental Care)
• Michiana Dental Sleep, LLC.
• Michiana Eye Center LLC

• Foot & Ankle Surgery Podiatrist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.