Active NPI
Richard Elton
- Dermatology Physician
- Bloomfield Hills, MI
National Provider Identifier
1902299662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301025408
- Practice address
- 29 Kingsley Manor CT
Bloomfield Hills, MI 48304-2813 - Phone
- (248) 649-6769
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301025408 | MI | Primary |
Addresses
Primary practice location
29 Kingsley Manor CT
Bloomfield Hills, MI 48304-2813
Mailing address
29 Kingsley Manor CT
Bloomfield Hills, MI 48304-2813
Phone (248) 649-6769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1902299662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 KINGSLEY MANOR CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042813",
"telephone_number": "248-649-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 KINGSLEY MANOR CT",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042813",
"telephone_number": "248-649-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELTON",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301025408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.