Timothy Dailey DPM PLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002466 Issued in MI

Legal business name

TIMOTHY DAILEY DPM PLC

Practice address

7305 Midland Rd
Ste 2
Freeland, MI 48623-8410

Phone

(989) 695-6788

Fax

(989) 695-6491

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Dailey, DPMNPI 1952684698

Title

Podiatrist

Phone

(989) 695-6788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J Dailey

  • Podiatrist
  • Clare, MI
  • NPI 1952684698
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1346791977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LEONARD ST NW",
            "address_2": "SUITE 103",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495348447",
            "telephone_number": "616-453-6329",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 MIDLAND RD",
            "address_2": "STE 2",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238410",
            "telephone_number": "989-695-6788",
            "fax_number": "989-695-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY DAILEY DPM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "989-695-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Freeland, MI
• Providers in Freeland, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.