Organization Active NPI

Martin J Faasse DPM, PC

  • Podiatrist
  • Grandville, MI
National Provider Identifier
1851563233
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MARTIN J FAASSE DPM, PC
Practice address
3550 Fairlanes Ave SW
Grandville, MI 49418-1572
Phone
(616) 534-3920
Fax
(616) 534-0801
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Martin J Faasse, DPM
Title
President
Phone
(616) 534-3920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3550 Fairlanes Ave SW
Grandville, MI 49418-1572

Mailing address

PO Box 164
Grandville, MI 49468-0164
Phone (616) 534-3920

National Provider Directory

National Provider Directory

Locations

3550 Fairlanes Ave SW
Grandville, MI 49418
Phone (616) 531-7220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1851563233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494680164",
            "telephone_number": "616-534-3920",
            "fax_number": "616-534-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FAIRLANES AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181572",
            "telephone_number": "616-534-3920",
            "fax_number": "616-534-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J FAASSE DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "FAASSE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-534-3920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.