Gentle Foot Care of Western Ohio, Inc.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

5901002275 Issued in MI

Legal business name

GENTLE FOOT CARE OF WESTERN OHIO, INC.

Practice address

3800 Woodward Ave Ste 318
Detroit, MI 48201-2066

Phone

(313) 833-3090

Fax

(313) 833-7843

NPI assigned

Apr 24, 2009

Organization subpart

Yes

Parent organization

GENTLE FOOT CAREAs reported in NPPES

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

Authorized official

Name

Carmen Henderson

Title

Credentials Specialist

Phone

(614) 457-3212

Specialties & licenses 3

Addresses

Other identifiers 6

Tax ID family

Gentle Foot Care of Western Ohio3 organizations share this tax ID, including this one

Part of

Gentle Footcare LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gentle Foot Care of Western Ohio

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
  • NPI 1568798908
  NPD tax ID
• GFC of Southeastern Michigan, PC

  • Foot & Ankle Surgery Podiatrist
  • Detroit, MI
  • NPI 1316191679
  NPD tax ID

Practitioners 1

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

• Manisha Mehta, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Detroit, MI
  • NPI 1417136029
  NPD (past)

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1891939682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE STE 318",
            "address_2": "SUITE 1102",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012066",
            "telephone_number": "313-833-3090",
            "fax_number": "313-833-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE STE 318",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012066",
            "telephone_number": "313-833-3090",
            "fax_number": "313-833-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FOOT CARE OF WESTERN OHIO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTLE FOOT CARE",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CREDENTIALS SPECIALIST",
        "authorized_official_telephone_number": "614-457-3212"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901002275",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901002275",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "5901002275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1316191679",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI1225",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI1225001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316191679",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1417136029",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417136029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentle Dental Jefferson PLLC
• Gentle Dental Plymouth Road PLLC
• Gentle Dental Washington Blvd PLLC
• Gentle Feelings in Home in Care
• Gentle Foot Care of Western Ohio
• Gentle Help Services, LLC
• Gentle Help Services, LLC
• Gentle Helping Hands Services, LLC
• Gentle Helping Hands Services, LLC
• Gentle Helping Hands Services, LLC

• Podiatric Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.