Active NPI
Edwin David, MD
- General Practice Physician
- Monroe, MI
National Provider Identifier
1952928467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 1952928467
- Practice address
- 718 N Macomb St
Monroe, MI 48162-7815 - Phone
- (734) 240-8400
- NPI assigned
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1952928467 | MI | Primary |
Addresses
Primary practice location
718 N Macomb St
Monroe, MI 48162-7815
Mailing address
31787 Clarita St
Livonia, MI 48152-3389
Phone (248) 497-1780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1952928467 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1952928467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31787 CLARITA ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523389",
"telephone_number": "248-497-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-30",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "1952928467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.