Melrose Family Foot Care Group Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MELROSE FAMILY FOOT CARE GROUP INC

Practice address

465 Main St
Melrose, MA 02176

Phone

(781) 665-4625

Fax

(781) 665-0090

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven L Senneville, DPMNPI 1326116203

Title

President

Phone

(781) 665-4625

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Melrose Family Foot Care Group2 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.

• Melrose Family Foot Care Group

  • Foot Surgery Podiatrist
  • Melrose, MA
  • NPI 1679966584
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Louis Senneville, DPM

  • Podiatrist
  • Melrose, MA
  • NPI 1326116203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780733121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-4625",
            "fax_number": "781-665-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-4625",
            "fax_number": "781-665-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE FAMILY FOOT CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENNEVILLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-665-4625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9774149",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melrose Drug Center Inc
• Melrose Family Chiropractic & Sports Injury Centre, Inc
• Melrose Family Dental PC
• Melrose Family Dentistry
• Melrose Family Foot Care Group
• Melrose Family Opticians LLC
• Melrose Internal Medicine Assoc PC
• Melrose Medical Associates
• Melrose Orthodontics, PC
• Melrose Surgical Associates, PC

• Podiatrist in Melrose, MA
• Providers in Melrose, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.