Active NPI
Robert I. Lubin, D.P.M., P. L.L.C
- Podiatrist
- Canton, MI
National Provider Identifier
1760686000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- RL000759
- Legal business name
- ROBERT I. LUBIN, D.P.M., P. L.L.C
- Practice address
- 8552 N Canton Center Rd
Canton, MI 48187-1310 - Phone
- (248) 819-0249
- Fax
- (248) 489-0545
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert I Lubin, D.P.M.
- Title
- Owner
- Phone
- (248) 819-0429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | RL000759 | MI | Primary |
Addresses
Primary practice location
8552 N Canton Center Rd
Canton, MI 48187-1310
Mailing address
PO Box 3299
Farmington Hills, MI 48333-3299
Phone (248) 819-0249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4939521 | Medicaid | MI |
Other names 1
- All Podiatry P.C.
National Provider Directory
National Provider Directory- Tax ID family
- All Podiatry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Canton, MI
- NPI 1023435203
Locations
6512 N Canton Center Rd
Canton, MI 48187
Phone (248) 819-0249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243296000000",
"number": "1760686000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3299",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483333299",
"telephone_number": "248-819-0249",
"fax_number": "248-489-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8552 N CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481871310",
"telephone_number": "248-819-0249",
"fax_number": "248-489-0545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT I. LUBIN, D.P.M., P. L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-12",
"last_updated": "2009-05-26",
"status": "A",
"authorized_official_last_name": "LUBIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-819-0429",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "RL000759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4939521",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "All Podiatry P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.