Active NPI
David Blum, M.D.
- Dermatology Physician
- Canton, MI
National Provider Identifier
1508835752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DB032249
- Practice address
- 8584 N Canton Center Rd
Canton, MI 48187-1310 - Phone
- (734) 455-4917
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DB032249 | MI | Primary |
Addresses
Primary practice location
8584 N Canton Center Rd
Canton, MI 48187-1310
Mailing address
8584 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 455-4917
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64889A | Other | MI | HEALTH ALLIANCE PLAN |
| 2363389001 | Other | MI | CIGNA |
| 101256 | Other | MI | CARE CHOICES |
| 4072568 | Other | MI | AETNA |
| B5020 | Other | MI | MCARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB032249 | MI | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1508835752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8584 N CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481871310",
"telephone_number": "734-455-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8584 N CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481871310",
"telephone_number": "734-455-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "DB032249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "64889A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2363389001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "101256",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4072568",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "B5020",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.