Active NPI
Daniel John Sellinger, DPM
- Primary Podiatric Medicine Podiatrist
- Ann Arbor, MI
National Provider Identifier
1487763306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- DS001554
- Practice address
- 2340 E Stadium Blvd
Suite 5
Ann Arbor, MI 48104-4823 - Phone
- (734) 971-7177
- Fax
- (734) 971-7377
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | DS001554 | MI | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DS001554 | MI |
Addresses
Primary practice location
2340 E Stadium Blvd
Suite 5
Ann Arbor, MI 48104-4823
Mailing address
984 Pratt Ridge CT
Ann Arbor, MI 48103-1402
Phone (734) 763-5082
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480024191 | Other | MI | RAILROAD MEDICARE |
| MI2461001 | Other | MI | MEDICARE PTAN |
| 4858152110 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2805968 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS001554 | MI | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1487763306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 PRATT RIDGE CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031402",
"telephone_number": "734-763-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 E STADIUM BLVD",
"address_2": "SUITE 5",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044823",
"telephone_number": "734-971-7177",
"fax_number": "734-971-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLINGER",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MI",
"license": "DS001554",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "DS001554",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480024191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI2461001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4858152110",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2805968",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.