Active NPI
David P. Sheldon
- Foot & Ankle Surgery Podiatrist
- Traverse City, MI
National Provider Identifier
1346418936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DS001425
- Legal business name
- DAVID P. SHELDON
- Practice address
- 4001 W Royal Dr
Traverse City, MI 49684-8965 - Phone
- (231) 946-9122
- Fax
- (231) 935-0317
- NPI assigned
- Feb 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David P Sheldon, DPM
- Title
- Doctor
- Phone
- (231) 946-9122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DS001425 | MI | Primary |
Addresses
Primary practice location
4001 W Royal Dr
Traverse City, MI 49684-8965
Mailing address
4001 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 946-9122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480B812560 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
National Provider Directory
National Provider DirectoryLocations
4001 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0666
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Traverse City, MI
- NPI 1265924724
-
- Foot & Ankle Surgery Podiatrist
- Traverse City, MI
- NPI 1275984353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329264000000",
"number": "1346418936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 W ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848965",
"telephone_number": "231-946-9122",
"fax_number": "231-935-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848965",
"telephone_number": "231-946-9122",
"fax_number": "231-935-0317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID P. SHELDON",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-15",
"last_updated": "2012-02-15",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "231-946-9122",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "DS001425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "480B812560",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.