Organization Active NPI

West Michigan Family Footcare PLC

  • Durable Medical Equipment & Medical Supplies
  • Kentwood, MI
National Provider Identifier
1952584070
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5901001348 Issued in MI
Legal business name
WEST MICHIGAN FAMILY FOOTCARE PLC
Practice address
4635 44TH St SE
Suite C150
Kentwood, MI 49512-4127
Phone
(800) 378-9991
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Debra K Williams
Title
Supervisor
Phone
(800) 378-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5901001348 MI Primary

Addresses

Primary practice location

4635 44TH St SE
Suite C150
Kentwood, MI 49512-4127

Mailing address

PO Box 8129
Kentwood, MI 49518-8129
Phone (800) 378-9991

Other names 1

  • Stephen D Harris Other name

National Provider Directory

National Provider Directory

Locations

4635 44th St SE
Ste C150
Kentwood, MI 49512
Phone (800) 378-9991

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1952584070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8129",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495188129",
            "telephone_number": "800-378-9991",
            "fax_number": "616-949-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 44TH ST SE",
            "address_2": "SUITE C150",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495124127",
            "telephone_number": "800-378-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN FAMILY FOOTCARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "800-378-9991"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen D Harris",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.