Active NPI
Sterling Heights Foot Care, P.C.
- Podiatrist
- Sterling Heights, MI
National Provider Identifier
1972676047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DB001099
- Legal business name
- STERLING HEIGHTS FOOT CARE, P.C.
- Practice address
- 43330 Mound Road
Sterling Heights, MI 48314-2022 - Phone
- (586) 323-3668
- Fax
- (586) 323-4120
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David E. Beneson, D.P.M.
- Title
- Vice-President
- Phone
- (586) 323-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DB001099 | MI | Primary |
Addresses
Primary practice location
43330 Mound Road
Sterling Heights, MI 48314-2022
Mailing address
43330 Mound Road
Sterling Heights, MI 48314-2022
Phone (586) 323-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1757697 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
43330 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-3668
36912 Ryan Rd
Sterling Hts, MI 48310
Phone (586) 979-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Marysville, MI
- NPI 1851343610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1972676047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43330 MOUND ROAD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483142022",
"telephone_number": "586-323-3668",
"fax_number": "586-323-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43330 MOUND ROAD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483142022",
"telephone_number": "586-323-3668",
"fax_number": "586-323-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STERLING HEIGHTS FOOT CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "BENESON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "586-323-3668",
"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": "DB001099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1757697",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
- Sterling Family Foot Care PC
- Sterling Heights Chiropractic Clinic P C
- Sterling Heights Comfort Care LLC
- Sterling Heights Dental Care P.C.
- Sterling Heights Dentistry PLLC
- Sterling Heights Medical Center, PC
- Sterling Heights Opco LLC (Medilodge of Sterling Heights)
- Sterling Heights Pain Management
- Sterling Heights Primary Care PLLC
- Sterling Heights Treatment Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.