Organization Active NPI

William J Peters DPM,PC

  • Podiatrist
  • Dearborn, MI
National Provider Identifier
1972566487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901000724 Issued in MI
Legal business name
WILLIAM J PETERS DPM,PC
Practice address
23100 Cherry Hill St
Dearborn, MI 48124-1493
Phone
(313) 278-5444
Fax
(313) 278-4800
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William John Peters, D.P.M.
Title
President
Phone
(313) 278-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901000724 MI Primary

Addresses

Primary practice location

23100 Cherry Hill St
Dearborn, MI 48124-1493

Mailing address

23100 Cherry Hill St
Dearborn, MI 48124-1449
Phone (313) 278-5444

Other identifiers 1

IdentifierTypeStateIssuer
4858210820OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

23100 Cherry Hill St
Ste 5
Dearborn, MI 48124
Phone (313) 278-5444

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972566487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-278-5444",
            "fax_number": "313-278-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241493",
            "telephone_number": "313-278-5444",
            "fax_number": "313-278-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J PETERS DPM,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-278-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4858210820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.