Organization Active NPI

Wendy W. Webster DPM,PC

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1447471669
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WENDY W. WEBSTER DPM,PC
Practice address
29556 Southfield Rd Ste 125
Southfield, MI 48076-2021
Phone
(248) 864-8845
Fax
(248) 864-8895
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Wendy Wrunaka WebsterNPI 1386652345
Title
Owner
Phone
(248) 864-8845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

29556 Southfield Rd Ste 125
Southfield, MI 48076-2021

Mailing address

29556 Southfield Rd Ste 125
Southfield, MI 48076-2021
Phone (248) 864-8845

Other identifiers 3

IdentifierTypeStateIssuer
5825263OtherMIBLUECROSS BLUESHIELD
5901001956OtherMISTATE LICENSE NUMBER
134271084MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070515000320 MI Part B Supplier - Clinic/Group Practice 8628175379 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

19933 Livernois Ave
Ste B
Detroit, MI 48221
Phone (313) 864-0741

29556 Southfield Rd
Ste 125
Southfield, MI 48076
Phone (248) 864-8845

29500 Southfield Rd
Ste 201
Southfield, MI 48076
Phone (248) 864-8845

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1447471669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29556 SOUTHFIELD RD STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762021",
            "telephone_number": "248-864-8845",
            "fax_number": "248-864-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29556 SOUTHFIELD RD STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762021",
            "telephone_number": "248-864-8845",
            "fax_number": "248-864-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY W. WEBSTER DPM,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "WRUNAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-864-8845"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "5825263",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5901001956",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134271084",
            "state": "MI"
        }
    ],
    "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 Mar 13, 2026; 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.