David E. Beneson D.P.M., P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DB001099 Issued in MI

Legal business name

DAVID E. BENESON D.P.M., P.C.

Practice address

2530 Crooks Rd
Royal Oak, MI 48073-3300

Phone

(248) 435-4777

Fax

(248) 435-3374

NPI assigned

Mar 26, 2007

Last updated

Jun 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David E. Beneson, D.P.M.NPI 1124060132

Title

President

Phone

(248) 435-4777

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• David Elliott Beneson, D.P.M.

  • Podiatrist
  • Royal Oak, MI
  • NPI 1124060132
  Medicare reassignment Care Compare group NPD Authorized official
• Paul James Constantino, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Royal Oak, MI
  • NPI 1598161564
  Medicare reassignment Care Compare group NPD
• Karen Marie Walsh, DPM

  • Primary Podiatric Medicine Podiatrist
  • Marysville, MI
  • NPI 1851343610
  NPD (past)
• Richard J Woolman, DC

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1952317992
  NPD (past)
• Holly Spohn-Gross, DPM

  • Podiatrist
  • Lake Isabella, CA
  • NPI 1659453611
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1689791436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733300",
            "telephone_number": "248-435-4777",
            "fax_number": "248-435-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733300",
            "telephone_number": "248-435-4777",
            "fax_number": "248-435-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. BENESON D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "BENESON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-435-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "DB001099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (IND)",
            "identifier": "1124060132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689791436",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796798",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Faye Dass, MSN, NP
• Chip Davenport
• Julie Davenport, CRC, LPC
• Melanie Joy Davenport, LMSW, CLINICAL
• David a Decker MD (Cancer Care Associates PC)
• David L Manzo MD PC
• David L. Manzo, M.D., P.C. (Manzo Eye Care)
• David Sinawi, PLLC (Complete Spine And Joint Center)
• David Vandam LLC
• Eric Matthew David, LLMSW

• Podiatrist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.

Verify at the official NPI Registry.