Organization Active NPI

Rick Siegel DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield Hills, MI
National Provider Identifier
1336317858
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5196890001 Issued in MI
Legal business name
RICK SIEGEL DPM PC
Practice address
43750 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5063
Phone
(248) 738-5550
Fax
(248) 738-5552
NPI assigned
Feb 19, 2008
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
RICK SIEGEL DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Ms. Chris Walker
Title
Office Manager
Phone
(248) 738-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5196890001 MI Primary

Addresses

Primary practice location

43750 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5063

Mailing address

43750 Woodward Ave Ste 101
Bloomfield, MI 48302-5063
Phone (248) 738-5550

Other identifiers 1

IdentifierTypeStateIssuer
2104882MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address siegelrick@hotmail.com Direct

National Provider Directory

National Provider Directory
Part of
Rick Siegel Dpmpc

Locations

2759 Elizabeth Lake Rd
Ste 101
Waterford, MI 48328
Phone (248) 738-5550

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1336317858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43750 WOODWARD AVE STE 101",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483025063",
            "telephone_number": "248-738-5550",
            "fax_number": "248-738-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43750 WOODWARD AVE STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025063",
            "telephone_number": "248-738-5550",
            "fax_number": "248-738-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK SIEGEL DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICK SIEGEL DPM PC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-738-5550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5196890001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104882",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "siegelrick@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT EMAIL",
            "address_1": "43750 Woodward Ave Ste 101",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483025063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.