NPIMap

Organization Active NPI

Kirk E Gold DPM PC

  • Foot Surgery Podiatrist
  • Commerce Township, MI
National Provider Identifier
1386795847
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901001886 Issued in MI
Legal business name
KIRK E GOLD DPM PC
Practice address
2075 E West Maple Rd
Suite B-207
Commerce Township, MI 48390-3816
Phone
(248) 669-3870
Fax
(248) 669-3866
NPI assigned
Jan 12, 2007
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Kirk Edward Gold, DPMNPI 1104880269
Title
President
Phone
(248) 669-3870

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 5901001886 MI Primary

Addresses

Primary practice location

2075 E West Maple Rd
Suite B-207
Commerce Township, MI 48390-3816

Mailing address

2075 E West Maple Rd
Suite B-207
Commerce Township, MI 48390-3816
Phone (248) 669-3870

National Provider Directory

National Provider Directory

Locations

1935 N Pontiac Trl
Ste B
Walled Lake, MI 48390
Phone (248) 669-6500

Practitioners & affiliated clinicians

Practitioners 3

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1386795847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD",
            "address_2": "SUITE B-207",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "248-669-3870",
            "fax_number": "248-669-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD",
            "address_2": "SUITE B-207",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "248-669-3870",
            "fax_number": "248-669-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK E GOLD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-669-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901001886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.