Kisha Murray Dread DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001881 Issued in MI

Legal business name

KISHA MURRAY DREAD DPM PC

Doing business as

Family Footcare of Lincoln Park

Practice address

22250 Providence Dr
Suite 302
Southfield, MI 48075-4825

Phone

(248) 557-6500

Fax

(248) 557-2781

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kisha Murray-Dread, DPMNPI 1093816753

Title

Owner

Phone

(313) 942-6500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Footcare of Lincoln Park Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kisha D Murray-Dread, DPM

  • Podiatrist
  • Oak Park, MI
  • NPI 1093816753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1407988223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20848",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482200848",
            "telephone_number": "248-557-6500",
            "fax_number": "248-557-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-557-6500",
            "fax_number": "248-557-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHA MURRAY DREAD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "MURRAY-DREAD",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-942-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134123036",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  ID#",
            "identifier": "383484379",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Footcare of Lincoln Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alazia Kirk
• Christina Ezell Kirkwood, APRN, FNP-BC
• Angela Kirma
• Jacqueline Kirouac, MSN, AGNP-C, APRN
• Jeffrey Joseph Kirouac, M.D.
• Katherine Kissel
• Abraham Kisule
• Christina Kitchko
• Faith Klandrud
• Carolyn Klausner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.