Active NPI
U P Podiatry
- Primary Podiatric Medicine Podiatrist
- Southfield, MI
National Provider Identifier
1366732935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- U P PODIATRY
- Practice address
- 23999 Northwestern Hwy
Suite 220B
Southfield, MI 48075-2578 - Phone
- (248) 996-6465
- NPI assigned
- Apr 15, 2011
- 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
- Dr. Kenneth Mitchell, DPM
- Title
- Owner
- Phone
- (248) 996-6465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
23999 Northwestern Hwy
Suite 220B
Southfield, MI 48075-2578
Mailing address
23999 Northwestern Hwy
Suite 220B
Southfield, MI 48075-2578
National Provider Directory
National Provider Directory- Tax ID family
- U P Podiatry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Southfield, MI
- NPI 1396036604
Locations
23999 Northwestern Hwy
Ste 220B
Southfield, MI 48075
Phone (248) 773-6322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302825600000",
"number": "1366732935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23999 NORTHWESTERN HWY",
"address_2": "SUITE 220B",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23999 NORTHWESTERN HWY",
"address_2": "SUITE 220B",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752578",
"telephone_number": "248-996-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U P PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-996-6465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.