NPIMap

Organization Active NPI

David a Friedman DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
National Provider Identifier
1942479654
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001103 Issued in MI
Legal business name
DAVID A FRIEDMAN DPM PC
Practice address
37672 Professional Center Dr
Suite 150B
Livonia, MI 48154-1154
Phone
(734) 953-0155
Fax
(734) 953-0114
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID A FRIEDMAN DPM PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. David Avery Friedman, DPMNPI 1487730305
Title
Owner
Phone
(734) 953-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001103 MI Primary

Addresses

Primary practice location

37672 Professional Center Dr
Suite 150B
Livonia, MI 48154-1154

Mailing address

37672 Professional Center Dr
Suite 150B
Livonia, MI 48154-1154
Phone (734) 953-0155

Other identifiers 1

IdentifierTypeStateIssuer
1629660MedicaidMI

National Provider Directory

National Provider Directory
Part of
David a Friedman DPM PC

Locations

13710 Michigan Ave
Dearborn, MI 48126
Phone (313) 584-4222

37672 Professional Center Dr
Ste 150B
Livonia, MI 48154
Phone (734) 953-0155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1942479654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37672 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 150B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541154",
            "telephone_number": "734-953-0155",
            "fax_number": "734-953-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37672 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 150B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541154",
            "telephone_number": "734-953-0155",
            "fax_number": "734-953-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A FRIEDMAN DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID A  FRIEDMAN DPM PC",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-953-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.