Organization Active NPI

Feet for Life PLLC

  • Foot & Ankle Surgery Podiatrist
  • West Bloomfield, MI
National Provider Identifier
1962898130
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FEET FOR LIFE PLLC
Practice address
4076 Old Dominion Dr
West Bloomfield, MI 48323-2653
Phone
(248) 752-8616
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Fernando L Quirindongo-Solano, DPM
Title
Owner
Phone
(248) 752-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X MI Primary

Addresses

Primary practice location

4076 Old Dominion Dr
West Bloomfield, MI 48323-2653

Mailing address

4076 Old Dominion Dr
West Bloomfield, MI 48323-2653
Phone (248) 752-8616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1962898130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 OLD DOMINION DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232653",
            "telephone_number": "248-752-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 OLD DOMINION DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232653",
            "telephone_number": "248-752-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET FOR LIFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "QUIRINDONGO-SOLANO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-752-8616",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.