Senior Podiatry, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002205 Issued in MI

Legal business name

SENIOR PODIATRY, PLLC

Practice address

2232 S Main St
Ste 405
Ann Arbor, MI 48103-6938

Phone

(734) 972-0274

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By 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. Brian Daley, DPMNPI 1598984189

Title

Sole Member

Phone

(734) 972-0274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Brian William Daley, D.P.M.

  • Podiatrist
  • Ann Arbor, MI
  • NPI 1598984189
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1710428115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 S MAIN ST",
            "address_2": "STE 405",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036938",
            "telephone_number": "734-972-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 S MAIN ST",
            "address_2": "STE 405",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036938",
            "telephone_number": "734-972-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "734-972-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Semaan, M.D
• Alice Marie Semerjian, M.D.
• Michelle Lee Semple
• Srijan Sen, M.D. PH.D.
• Traci Lynn Seng, O.D.
• Kyle Senk
• Nereida Elicia Senkbeil, LLMSW
• Alexa Senkmajer
• Paige Summer Senn, DPT
• Alexei Sennikov, M.D.

• Podiatrist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.