Organization Active NPI

John D Arsen DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Lake Orion, MI
National Provider Identifier
1609057470
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
JA400164 Issued in MI
Legal business name
JOHN D ARSEN DPM INC
Practice address
1251 S Lapeer Rd Ste 101
Lake Orion, MI 48360-1415
Phone
(248) 693-7700
Fax
(248) 693-3032
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Mrs. Laurie A Bodo
Title
Medical Biller
Phone
(248) 693-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X JA400164 MI Primary

Addresses

Primary practice location

1251 S Lapeer Rd Ste 101
Lake Orion, MI 48360-1415

Mailing address

1251 S Lapeer Rd Ste 101
Lake Orion, MI 48360-1415
Phone (248) 693-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080310000290 MI Part B Supplier - Clinic/Group Practice 0547345928 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Orion, MI
O20100930047679 MI DME Supplier - Physician - Podiatry 0547345928 Practice locations: Lake Orion, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1609057470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S LAPEER RD STE 101",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601415",
            "telephone_number": "248-693-7700",
            "fax_number": "248-693-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S LAPEER RD STE 101",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601415",
            "telephone_number": "248-693-7700",
            "fax_number": "248-693-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D ARSEN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "BODO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "248-693-7700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "JA400164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.