Organization Active NPI

David P. Sheldon

  • Foot & Ankle Surgery Podiatrist
  • Traverse City, MI
National Provider Identifier
1346418936
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DS001425 Issued in MI
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

Updated by the provider on Feb 15, 2012

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
480B812560OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.