Active NPI
Richard Arthur Maldin, DPM
- Podiatrist
- Fairfield, CT
National Provider Identifier
1689672016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000117
- Practice address
- 1305 Post Rd
Fairfield, CT 06824-6016 - Phone
- (203) 255-4618
- Fax
- (203) 268-2299
- NPI assigned
- Jul 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000117 | CT | Primary |
Addresses
Primary practice location
1305 Post Rd
Fairfield, CT 06824-6016
Mailing address
1305 Post Rd
Fairfield, CT 06824-6016
Phone (203) 255-4618
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030000117CT01 | Other | CT | CT. BLUE SHIELD |
| 000955 | Other | CT | HEALTH NET |
| 4006003 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000117 | CT | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689672016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-255-4618",
"fax_number": "203-268-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-255-4618",
"fax_number": "203-268-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDIN",
"first_name": "RICHARD",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "000117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT. BLUE SHIELD",
"identifier": "030000117CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "000955",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4006003",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.