Individual provider Active NPI

Jeffrey D. Danto, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterford, MI
National Provider Identifier
1598772105
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400208 Issued in MI
Practice address
4396 Dixie Hwy Ste 1
Waterford, MI 48329-3564
Phone
(248) 674-4141
Fax
(248) 674-9581
NPI assigned
Aug 3, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400208 MI Primary

Addresses

Primary practice location

4396 Dixie Hwy Ste 1
Waterford, MI 48329-3564

Mailing address

4396 Dixie Hwy Ste 1
Waterford, MI 48329-3564
Phone (248) 674-4141

Other identifiers 2

IdentifierTypeStateIssuer
1863410MedicaidMI
4079448MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000338 MI Practitioner - Podiatry 0244230597 Practice locations: Waterford, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomfield Foot and Ankle Specialists PLLCGroup PAC ID 2769714880, 2 clinicians

Practice addresses (Care Compare)

43750 Woodward Ave
Suite 101
Bloomfield Hills, MI 48302-5063
Phone (248) 738-5550

4396 Dixie Hwy
Waterford, MI 48329-3564

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue143
Removal of nail tissue113
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400208MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Danto DPM PastSince Mar 1, 1997 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1598772105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 DIXIE HWY STE 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293564",
            "telephone_number": "248-674-4141",
            "fax_number": "248-674-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 DIXIE HWY STE 1",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293564",
            "telephone_number": "248-674-4141",
            "fax_number": "248-674-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTO",
        "first_name": "JEFFREY",
        "middle_name": "D.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1863410",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4079448",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.