NPIMap

Organization Active NPI

Royalton Foot and Ankle Assoc

  • Durable Medical Equipment & Medical Supplies
  • Saint Joseph, MI
National Provider Identifier
1366587354
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DH001838 Issued in MI
Legal business name
ROYALTON FOOT AND ANKLE ASSOC
Practice address
3800 Hollywood Rd
Suite 103
Saint Joseph, MI 49085-8510
Phone
(269) 428-2440
Fax
(269) 428-0980
NPI assigned
Feb 20, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
David Ralph Halstead, D.P.M.NPI 1407843469
Title
Partner
Phone
(269) 428-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DH001838 MI Primary

Addresses

Primary practice location

3800 Hollywood Rd
Suite 103
Saint Joseph, MI 49085-8510

Mailing address

3800 Hollywood Rd
Suite 103
Saint Joseph, MI 49085-8510
Phone (269) 428-2440

Other identifiers 1

IdentifierTypeStateIssuer
1366587354OtherMIMEDICARE DME

National Provider Directory

National Provider Directory
Tax ID family
Roylaton Foot Ankle a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1366587354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 103",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-2440",
            "fax_number": "269-428-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 103",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-2440",
            "fax_number": "269-428-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTON FOOT AND ANKLE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "269-428-2440",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "DH001838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1366587354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.