William John Peters, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901000724 Issued in MI

Practice address

23100 Cherry Hill St
Dearborn, MI 48124-1493

Phone

(313) 278-5444

Fax

(313) 278-4800

NPI assigned

Apr 7, 2006

Reactivated

Jul 23, 2007

Last updated

Jan 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William J Peters DPM,PC

  • Podiatrist
  • Dearborn, MI
  • NPI 1972566487
  Authorized official Same address or phone

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1386607877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "address_2": "SUITE 5",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-278-5444",
            "fax_number": "313-278-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-278-5444",
            "fax_number": "313-278-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-01-29",
        "deactivation_date": "2006-04-07",
        "reactivation_date": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000724",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4858210820",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "480H234160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personal Nutrition Solutions, LLC
• Personalized Dental Care PLLC
• Peter L. Stevenson, MD, PC
• David Peters, M.D.
• Vanessa J Peters, CRNA
• Jordan James Petersen, DO
• Delani Alyse Peterson
• Ebony Peterson
• Michael Pauly Petrich, M.D.
• Shakyra Pettis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.