Active NPI
Gareth Shires
- Other Technician
- Farmington Hills, MI
National Provider Identifier
1639623861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 36630 Jefferson CT Apt 7303
Farmington Hills, MI 48335-1951 - Phone
- (248) 408-3061
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
36630 Jefferson CT Apt 7303
Farmington Hills, MI 48335-1951
Mailing address
36630 Jefferson CT Apt 7303
Farmington Hills, MI 48335-1951
Phone (248) 408-3061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1639623861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36630 JEFFERSON CT APT 7303",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351951",
"telephone_number": "248-408-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36630 JEFFERSON CT APT 7303",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351951",
"telephone_number": "248-408-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRES",
"first_name": "GARETH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.