Organization Active NPI

Isidro C Almeda DM PC

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1487875746
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301032453 Issued in MI
Legal business name
ISIDRO C ALMEDA DM PC
Practice address
37490 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone
(248) 770-1805
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Isidro C Almeda, M.D.
Title
Owner
Phone
(248) 770-1805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301032453 MI Primary

Addresses

Primary practice location

37490 Dequindre Rd
Sterling Heights, MI 48310-3503

Mailing address

PO Box 81280
Rochester, MI 48308-1280
Phone (248) 770-1805

Other identifiers 1

IdentifierTypeStateIssuer
1487875746MedicaidMI

National Provider Directory

National Provider Directory

Locations

15000 Gratiot Ave
Ste 200
Detroit, MI 48205
Phone (313) 579-8888

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": "1435881600000",
    "number": "1487875746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81280",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483081280",
            "telephone_number": "248-770-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37490 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103503",
            "telephone_number": "248-770-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIDRO C ALMEDA DM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "ALMEDA",
        "authorized_official_first_name": "ISIDRO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-770-1805",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301032453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487875746",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.