Active NPI
Shantel Pinchem
- Prosthetics Case Management
- Clinton Township, MI
National Provider Identifier
1730779794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 41140 Garfield Rd Ste 206
Clinton Township, MI 48038-1903 - Phone
- (248) 247-1137
- NPI assigned
- Jan 24, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
41140 Garfield Rd Ste 206
Clinton Township, MI 48038-1903
Mailing address
33717 Woodward Ave Ste 245
Birmingham, MI 48009-0913
Phone (248) 247-1137
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1730779794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33717 WOODWARD AVE STE 245",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480090913",
"telephone_number": "248-247-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41140 GARFIELD RD STE 206",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381903",
"telephone_number": "248-247-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCHEM",
"first_name": "SHANTEL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.