Active NPI
West Michigan Family Footcare PLC
- Durable Medical Equipment & Medical Supplies
- Kentwood, MI
National Provider Identifier
1952584070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5901001348
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.