Active NPI
Michael G. Motyer, D.P.M.
- Podiatrist
- Bluffton, IN
National Provider Identifier
1962620823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07001062A
- Practice address
- 1 Caylor Nickel SQ
Bluffton, IN 46714-2529 - Phone
- (260) 919-3302
- Fax
- (260) 919-3551
- NPI assigned
- Apr 23, 2007
- Last updated
- Nov 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 41000209 | IN | |
| Podiatrist | 213E00000X | 07001062A | IN | Primary |
Addresses
Primary practice location
1 Caylor Nickel SQ
Bluffton, IN 46714-2529
Mailing address
1 Caylor-Nickel SQ.
Ste 100 Caylor-Nickel Clinic
Bluffton, IN 46714
Phone (260) 824-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200940600 | Medicaid | IN |
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 |
|---|---|---|---|
| 07001062A | IN | MD | Podiatrist |
| 41000209 | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluffton Physician Services LLC | Podiatrist | Past | Accepting new patients |
| Caylor Nickel Clinic, PC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1962620823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAYLOR-NICKEL SQ.",
"address_2": "STE 100 CAYLOR-NICKEL CLINIC",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "46714",
"telephone_number": "260-824-3500",
"fax_number": "260-919-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAYLOR NICKEL SQ",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467142529",
"telephone_number": "260-919-3302",
"fax_number": "260-919-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTYER",
"first_name": "MICHAEL",
"middle_name": "G.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "41000209",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001062A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200940600",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.