Organization Active NPI

David Beltzman MD Inc.

  • Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1669528568
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301038193 Issued in MI
Legal business name
DAVID BELTZMAN MD INC.
Practice address
2020 Hogback Rd Ste 14
Ann Arbor, MI 48105-9752
Phone
(734) 973-1020
Fax
(734) 973-1074
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Dr. David Gary Beltzman, MD
Title
Owner
Phone
(734) 973-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301038193 MI Primary

Addresses

Primary practice location

2020 Hogback Rd Ste 14
Ann Arbor, MI 48105-9752

Mailing address

2020 Hogback Rd Ste 14
Ann Arbor, MI 48105-9752
Phone (734) 973-1020

Other identifiers 2

IdentifierTypeStateIssuer
0814173OtherMIBLUE CROSS BLUE SHIELD
101205OtherMICARE CHOICES

National Provider Directory

National Provider Directory

Locations

2020 Hogback Rd
Ste 14
Ann Arbor, MI 48105
Phone (734) 677-4770

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1669528568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD STE 14",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "734-973-1020",
            "fax_number": "734-973-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD STE 14",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "734-973-1020",
            "fax_number": "734-973-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BELTZMAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "BELTZMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-973-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301038193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0814173",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "101205",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.