Active NPI
Harry a Kezelian Jr D P M P C
- Podiatrist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001098
- Legal business name
- HARRY A KEZELIAN JR D P M P C
- Practice address
- 29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332 - Phone
- (248) 354-0057
- NPI assigned
- Dec 27, 2007
- Last updated
- Mar 14, 2008
- Organization subpart
- Yes
- Parent organization
- HARRY A KEZELIAN JR D P M P C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Alger Kezelian Jr., D.P.M.
- Title
- President
- Phone
- (248) 354-0057
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 | 5901001098 | MI | Primary |
Addresses
Primary practice location
29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332
Mailing address
29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332
Phone (248) 354-0057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113830 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Harry a Kezelian Jr DPM PC
Locations
29877 Telegraph Rd
Ste 302
Southfield, MI 48034
Phone (248) 353-8910
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Podiatrist
- Detroit, MI
- NPI 1952455610
Practitioners & 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
- Southfield, MI
- NPI 1629083035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1568646404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 302",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-354-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 302",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-354-0057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRY A KEZELIAN JR D P M P C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HARRY A KEZELIAN JR D P M P C",
"enumeration_date": "2007-12-27",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "KEZELIAN",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "ALGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-354-0057",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3113830",
"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 14, 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.