Active NPI
Michael Barry Stern, D.P.M.
- Podiatrist
- Northglenn, CO
National Provider Identifier
1962414797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00275
- Practice address
- 10465 Melody Dr
Suite 313
Northglenn, CO 80234-4119 - Phone
- (303) 451-5900
- Fax
- (303) 451-1233
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00275 | CO | Primary |
Addresses
Primary practice location
10465 Melody Dr
Suite 313
Northglenn, CO 80234-4119
Mailing address
10465 Melody Dr
Suite 313
Northglenn, CO 80234-4119
Phone (303) 451-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01002757 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00275 | CO | MD | Podiatrist |
| 275 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1962414797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10465 MELODY DR",
"address_2": "SUITE 313",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344119",
"telephone_number": "303-451-5900",
"fax_number": "303-451-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10465 MELODY DR",
"address_2": "SUITE 313",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344119",
"telephone_number": "303-451-5900",
"fax_number": "303-451-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MICHAEL",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "00275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01002757",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.