Active NPI
Arnold Scott Gross, D.P.M.
- Podiatrist
- Bingham Farms, MI
National Provider Identifier
1780778704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- AG000942
- Practice address
- 31500 Telegraph Rd
Suite 235
Bingham Farms, MI 48025-4367 - Phone
- (248) 646-6882
- Fax
- (248) 646-7677
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | AG000942 | MI | Primary |
Addresses
Primary practice location
31500 Telegraph Rd
Suite 235
Bingham Farms, MI 48025-4367
Mailing address
31500 Telegraph Rd
Suite 235
Bingham Farms, MI 48025-4367
Phone (248) 646-6882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2109403 | Medicaid | MI | |
| 0F32399 | Other | MI | BLLUE CROSS/BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG000942 | MI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1780778704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "SUITE 235",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-646-6882",
"fax_number": "248-646-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "SUITE 235",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-646-6882",
"fax_number": "248-646-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "ARNOLD",
"middle_name": "SCOTT",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "AG000942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2109403",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLLUE CROSS/BLUE SHIELD",
"identifier": "0F32399",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.