Individual provider Active NPI

Carolyn Elizabeth Diponio, DPM

  • Podiatrist
  • Grayling, MI
National Provider Identifier
1649216128
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CD000556 Issued in MI
Practice address
6251 W M 72 Hwy
Grayling, MI 49738-7462
Phone
(989) 348-3090
Fax
(989) 348-9547
NPI assigned
Jun 21, 2006
Last updated
Aug 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X CD000556 MI Primary

Addresses

Primary practice location

6251 W M 72 Hwy
Grayling, MI 49738-7462

Mailing address

6251 W M 72 Hwy
P O Box 607
Grayling, MI 49738-7462
Phone (989) 348-3090

Other identifiers 1

IdentifierTypeStateIssuer
132103553MedicaidMI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CD000556MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey M. Day DPM PC Past Accepting new patients
Geoffrey M Day DPM PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1649216128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 W M 72 HWY",
            "address_2": "P O BOX 607",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387462",
            "telephone_number": "989-348-3090",
            "fax_number": "989-348-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 W M 72 HWY",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387462",
            "telephone_number": "989-348-3090",
            "fax_number": "989-348-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPONIO",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "CD000556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132103553",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.