Active NPI
Daniel D Swiriduk, DPM
- Podiatrist
- Cadillac, MI
National Provider Identifier
1346274172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DS001752
- Practice address
- 927 Carmel St
Cadillac, MI 49601-2547 - Phone
- (231) 876-3876
- Fax
- (231) 775-1115
- NPI assigned
- Jul 10, 2006
- 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 | DS001752 | MI | Primary |
Addresses
Primary practice location
927 Carmel St
Cadillac, MI 49601-2547
Mailing address
3799 Momentum Place
Chicago, IL 60689-5337
Phone (231) 935-6080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480H310050 | Other | BLUE CROSS | |
| 4084804 | Medicaid | MI |
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 |
|---|---|---|---|
| DS001752 | MI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1346274172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3799 MOMENTUM PLACE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895337",
"telephone_number": "231-935-6080",
"fax_number": "231-935-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 CARMEL ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012547",
"telephone_number": "231-876-3876",
"fax_number": "231-775-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIRIDUK",
"first_name": "DANIEL",
"middle_name": "D",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "DS001752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "480H310050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4084804",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.