Active NPI
David C. Mehl DPM PC
Doing business as Forest Hills Family Foot Care
- Foot & Ankle Surgery Podiatrist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N004175
- Legal business name
- DAVID C. MEHL DPM PC
- Doing business as
- Forest Hills Family Foot Care
- Practice address
- 6310 108TH St
Forest Hills, NY 11375-1355 - Phone
- (718) 896-1650
- Fax
- (718) 896-3088
- NPI assigned
- Jul 29, 2006
- Last updated
- May 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David C Mehl, DPM
- Title
- President
- Phone
- (718) 896-1650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N004175 | NY | Primary |
Addresses
Primary practice location
6310 108TH St
Forest Hills, NY 11375-1355
Mailing address
6310 108TH St
Forest Hills, NY 11375-1355
Phone (718) 896-1650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01256459 | Medicaid | NY |
Other names 1
- FOREST HILLS FAMILY FOOT CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
11214 Horace Harding Expy
Flushing, NY 11368
Phone (718) 669-4100
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.
-
- Foot Surgery Podiatrist
- Forest Hills, NY
- NPI 1902812258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273449600000",
"number": "1629082060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751355",
"telephone_number": "718-896-1650",
"fax_number": "718-896-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 108TH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751355",
"telephone_number": "718-896-1650",
"fax_number": "718-896-3088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID C. MEHL DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2010-05-10",
"status": "A",
"authorized_official_last_name": "MEHL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-896-1650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N004175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01256459",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOREST HILLS FAMILY FOOT CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.