NPIMap

Organization Active NPI

Detroit Metro Foot & Ankle Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, MI
National Provider Identifier
1609150382
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002290 Issued in MI
Legal business name
DETROIT METRO FOOT & ANKLE SPECIALISTS, PLLC
Practice address
906 S Main St
Plymouth, MI 48170-2093
Phone
(734) 455-3669
Fax
(734) 455-3797
NPI assigned
Sep 29, 2011
Last updated
Oct 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Authorized official

Name
Dr. Hatim T Burhani, D.P.M.
Title
Doctor
Phone
(734) 455-3669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 5901002303 MI
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 5901002290 MI Primary

Addresses

Primary practice location

906 S Main St
Plymouth, MI 48170-2093

Mailing address

906 S Main St
Plymouth, MI 48170-2093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317427200000",
    "number": "1609150382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702093",
            "telephone_number": "734-455-3669",
            "fax_number": "734-455-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT METRO FOOT & ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-10-01",
        "status": "A",
        "authorized_official_last_name": "BURHANI",
        "authorized_official_first_name": "HATIM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "734-455-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002303",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; 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.