NPIMap

Organization Active NPI

Premier 1 Podiatry PLLC

  • Podiatrist
  • Dearborn, MI
National Provider Identifier
1932579398
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002505 Issued in MI
Legal business name
PREMIER 1 PODIATRY PLLC
Practice address
24327 Ford Rd
Dearborn, MI 48128-1129
Phone
(313) 969-9775
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Dr. Audey Nasser, DPM
Title
Podiatrist
Phone
(313) 969-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901002505 MI Primary

Addresses

Primary practice location

24327 Ford Rd
Dearborn, MI 48128-1129

Mailing address

24327 Ford Rd
Dearborn, MI 48128-1129
Phone (313) 969-9775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1932579398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24327 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129",
            "telephone_number": "313-969-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24327 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281129",
            "telephone_number": "313-969-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER 1 PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "AUDEY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "313-969-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.