Organization Active NPI

Robert I. Lubin, D.P.M., P. L.L.C

  • Podiatrist
  • Canton, MI
National Provider Identifier
1760686000
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
RL000759 Issued in MI
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

Updated by the provider on May 26, 2009

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4939521MedicaidMI

Other names 1

  • All Podiatry P.C. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
All Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.