NPIMap

Organization Active NPI

Jeffrey Danto DPM

  • Podiatrist
  • Waterford, MI
National Provider Identifier
1407971179
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
JD40008 Issued in MI
Legal business name
JEFFREY DANTO DPM
Practice address
4396 Dixie Hwy Ste 1
Waterford, MI 48329-3564
Phone
(248) 674-4141
Fax
(248) 674-9581
NPI assigned
Mar 20, 2007
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Jeffrey Danto, DPMNPI 1598772105
Title
Owner
Phone
(248) 674-4141

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X JD40008 MI Primary

Addresses

Primary practice location

4396 Dixie Hwy Ste 1
Waterford, MI 48329-3564

Mailing address

4396 Dixie Hwy Ste 1
Waterford, MI 48329-3564
Phone (248) 674-4141

Other identifiers 5

IdentifierTypeStateIssuer
JD400208OtherMILICENSE NUMBER
4596230001OtherDME MEDICARE
1863410MedicaidMI
540F335340OtherMIBC DME ID
480F373190OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Locations

4396 Dixie Hwy
Ste 1
Waterford, MI 48329
Phone (248) 674-4141

Practitioners & affiliated clinicians

Practitioners 4

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1407971179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 DIXIE HWY STE 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293564",
            "telephone_number": "248-674-4141",
            "fax_number": "248-674-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 DIXIE HWY STE 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293564",
            "telephone_number": "248-674-4141",
            "fax_number": "248-674-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY DANTO DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "DANTO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-674-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JD40008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "JD400208",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "4596230001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1863410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DME ID",
            "identifier": "540F335340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "480F373190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.