NPIMap

Organization Active NPI

Thomas a Lebeau DPM PC

  • Podiatrist
  • Northville, MI
National Provider Identifier
1811149644
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001508 Issued in MI
Legal business name
THOMAS A LEBEAU DPM PC
Practice address
957 Novi Rd
Apt 16
Northville, MI 48167-1169
Phone
(248) 974-1979
NPI assigned
Oct 10, 2008
Last updated
Oct 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Thomas A Lebeau, DPMNPI 1659587897
Title
Owner
Phone
(248) 974-1979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001508 MI Primary

Addresses

Primary practice location

957 Novi Rd
Apt 16
Northville, MI 48167-1169

Mailing address

957 Novi Rd
Apt 16
Northville, MI 48167-1169
Phone (248) 974-1979

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1811149644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NOVI RD",
            "address_2": "APT 16",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671169",
            "telephone_number": "248-974-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 NOVI RD",
            "address_2": "APT 16",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671169",
            "telephone_number": "248-974-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A LEBEAU DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-974-1979",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.