Active NPI
Advanced Podiatry of Dearborn PC
- Podiatrist
- West Bloomfield, MI
National Provider Identifier
1891863726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901000677
- Legal business name
- ADVANCED PODIATRY OF DEARBORN PC
- Practice address
- 7296 Simsbury Dr
West Bloomfield, MI 48322-3548 - Phone
- (248) 737-2343
- Fax
- (248) 737-3959
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Rosenberg, DPM
- Title
- President
- Phone
- (248) 737-2343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901000677 | MI | Primary |
Addresses
Primary practice location
7296 Simsbury Dr
West Bloomfield, MI 48322-3548
Mailing address
7296 Simsbury Dr
West Bloomfield, MI 48322-3548
Phone (248) 737-2343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8825444 | Other | MI | BLUE CROSS & BLUE SHIELD |
| 1080580 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
4515 Sylvia St
Inkster, MI 48141
Phone (313) 274-2383
36233 Willow Rd
New Boston, MI 48164
Phone (734) 654-4480
19640 Middlebelt Rd
Romulus, MI 48174
Phone (734) 783-2509
34932 Ecorse Rd
Romulus, MI 48174
Phone (248) 738-4986
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1619014743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1891863726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7296 SIMSBURY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223548",
"telephone_number": "248-737-2343",
"fax_number": "248-737-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7296 SIMSBURY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223548",
"telephone_number": "248-737-2343",
"fax_number": "248-737-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PODIATRY OF DEARBORN PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-737-2343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5901000677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "8825444",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1080580",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
- Brian D Adelman, MD
- Anne Renee Adelson, PA-C
- Prashanti Adimulam
- Muriel Adom-Boakye
- Advance Health Care System, LLC
- Advanced Precision Health Management PLLC
- Advanced Wound Care and Hyperbaric Medicine of Michigan PC
- Carol Afflerbaugh, M.A., CCC/SLP, BCBA
- Affordable Medical Equipment & Supply, Co., Inc.
- Asghar Afsari, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.