Active NPI
Lawrence B Rubin DPM PC
- Podiatrist
- Detroit, MI
National Provider Identifier
1366629594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901000839
- Legal business name
- LAWRENCE B RUBIN DPM PC
- Practice address
- 18530 Grand River
Detroit, MI 48223 - Phone
- (313) 273-9400
- Fax
- (313) 273-5612
- NPI assigned
- Jan 30, 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
- Lawrence Blake Rubin, DPM
- Title
- President Owner
- Phone
- (313) 273-9400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901000839 | MI | Primary |
Addresses
Primary practice location
18530 Grand River
Detroit, MI 48223
Mailing address
18530 Grand River
Detroit, MI 48223
Phone (313) 273-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1391060 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Foot Surgery Podiatrist
- Detroit, MI
- NPI 1881696953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1366629594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18530 GRAND RIVER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48223",
"telephone_number": "313-273-9400",
"fax_number": "313-273-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18530 GRAND RIVER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48223",
"telephone_number": "313-273-9400",
"fax_number": "313-273-5612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE B RUBIN DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "313-273-9400",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901000839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1391060",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.