James D Black

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JAMES D BLACK

Practice address

18010 Mack Ave
Grosse Pointe, MI 48230-6235

Phone

(313) 882-7480

Fax

(248) 652-3401

NPI assigned

Feb 14, 2008

Last updated

Aug 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James D Black, DPM

Title

Podiatrist/Owner

Phone

(313) 882-7480

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1871761601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18010 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306235",
            "telephone_number": "313-882-7480",
            "fax_number": "313-882-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306235",
            "telephone_number": "313-882-7480",
            "fax_number": "248-652-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D BLACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "313-882-7480",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "JB001105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "485635035",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5635035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.