Active NPI
R Daniel Davis & Mark Schickler Family Podiatry Center
- Podiatrist
- Bridgeport, CT
National Provider Identifier
1457526980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- R DANIEL DAVIS & MARK SCHICKLER FAMILY PODIATRY CENTER
- Practice address
- 2409 Main St
Bridgeport, CT 06606-5324 - Phone
- (203) 334-6955
- Fax
- (203) 334-2851
- NPI assigned
- Apr 25, 2008
- Last updated
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Alan Schickler, D.P.M.
- Title
- Partner
- Phone
- (203) 334-6955
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
2409 Main St
Bridgeport, CT 06606-5324
Mailing address
2409 Main St
Bridgeport, CT 06606-5324
Phone (203) 334-6955
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Bridgeport, CT
- NPI 1396856548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1457526980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065324",
"telephone_number": "203-334-6955",
"fax_number": "203-334-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065324",
"telephone_number": "203-334-6955",
"fax_number": "203-334-2851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R DANIEL DAVIS & MARK SCHICKLER FAMILY PODIATRY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "SCHICKLER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "203-334-6955",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.