Organization Active NPI

Sterling Heights Foot Care, P.C.

  • Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1972676047
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DB001099 Issued in MI
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

Updated by the provider on Nov 17, 2009

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1757697MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.